Individual
NINA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
BLACK COAL RD BLDG 29, FT WASHAKIE, WY 82514
(307) 332-7672
(307) 332-7514
Mailing address
315 HILLWOOD DR, RIVERTON, WY 82501-9336
(307) 856-9281
(307) 857-2898
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
MT 109011
WY
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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