Individual
MR. DALLAS OMAR MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
1229 126TH STREET CT E, TACOMA, WA 98445-7100
(253) 223-6417
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
06/15/2022
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