Individual
DR. CHARLES WAYNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS.,NP.
Contact information
Practice address
5040 BRABANT CT, ELK GROVE, CA 95757-3295
(916) 752-1273
(916) 676-4865
Mailing address
5040 BRABANT CT, ELK GROVE, CA 95757-3295
(916) 752-1273
(916) 676-4865
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
CNS1514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNS015140
—
CA
Enumeration date
12/20/2006
Last updated
04/26/2008
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