Individual
MR. CHARLES RICHARD WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 LINDAMEDE LN, MIAMISBURG, OH 45342-3160
(937) 474-5030
Mailing address
37 LINDAMEDE LN, MIAMISBURG, OH 45342-3160
(937) 474-5030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.144528-M-IV
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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