Individual
ROY LEE WILLIAMS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4482 DAVIS ST, SANTA CLARA, CA 95054-2545
(650) 461-0161
Mailing address
4482 DAVIS ST, SANTA CLARA, CA 95054-2545
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/06/2020
Last updated
01/06/2020
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