Individual
MS. SANDRA KAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 MARIO DR, TROTWOOD, OH 45426-2915
(937) 854-3123
Mailing address
38 MARIO DR, TROTWOOD, OH 45426-2915
(937) 854-3123
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2555917
—
OH
Enumeration date
05/14/2007
Last updated
07/09/2007
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