Individual
PAMELA ANNE MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11731 SUMMERCHASE CIR APT D, RESTON, VA 20194-1141
(347) 636-4873
Mailing address
11902 WINTERTHUR LN APT 106, RESTON, VA 20191-1919
(347) 636-4873
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401193713
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
09/18/2018
Last updated
09/18/2018
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