Individual
JAIME WILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 KERN ST, FRESNO, CA 93721-2008
(559) 400-6024
Mailing address
2042 KERN ST, FRESNO, CA 93721-2008
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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