Individual
JACQUELINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6037
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6037
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
585466
CA
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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