Individual
KATRINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 N WILTON ST, PHILADELPHIA, PA 19139-1416
(215) 792-4145
Mailing address
236 N WILTON ST, PHILADELPHIA, PA 19139-1416
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
20517753
PA
Other
Enumeration date
07/06/2016
Last updated
07/13/2016
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