Individual
LARRY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15348 W CALAVAR RD, SURPRISE, AZ 85379-8007
(623) 229-5707
Mailing address
15348 W CALAVAR RD, SURPRISE, AZ 85379-8007
(623) 229-5707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
253903
AZ
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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