Individual
MR. CHARLES ALBERT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3455 STURTEVANT ST, SUITE 1, SAN DIEGO, CA 92136-5035
(619) 556-6671
Mailing address
3455 STURTEVANT ST, SUITE 1, SAN DIEGO, CA 92136-5069
(619) 556-6671
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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