Individual
MRS. MARA SUSAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 255-4172
(707) 255-2605
Mailing address
19337 ORANGE AVE, SONOMA, CA 95476-6215
(707) 996-6219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
345522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15902
NP FURNISHING NUMBER
CA
01
—
345522
RN LICENSE
CA
Enumeration date
01/17/2007
Last updated
03/07/2023
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