Individual
ELIJAH WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36C GIBBS ST APT 34, WORCESTER, MA 01607-1469
(774) 712-8626
Mailing address
36C GIBBS ST APT 34, WORCESTER, MA 01607-1469
(774) 712-8626
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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