Individual
KHALIH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 BROENING HWY, BALTIMORE, MD 21224-5528
(667) 415-1779
Mailing address
1215 BROENING HWY, BALTIMORE, MD 21224-5528
(667) 415-1779
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
11634502
MD
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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