Individual
MR. PATRICK WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39177 OLD HIGHWAY 80, BOULEVARD, CA 91905-9684
(619) 840-8889
Mailing address
PO BOX 1225, BOULEVARD, CA 91905-0325
(619) 840-8889
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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