Individual
MR. LARRY D WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.C.D.C.
Contact information
Practice address
3453 GAVIOTA AVE, LONG BEACH, CA 90807-4919
(562) 355-1800
Mailing address
3453 GAVIOTA AVE, LONG BEACH, CA 90807-4919
(562) 355-1800
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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