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Individual

MRS. DIANE ELIZABETH WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU. D.

Contact information

Practice address
7024 AIRWAY AVE, SUITE D, YUCCA VALLEY, CA 92284-3069
(760) 228-1381
(760) 228-1481
Mailing address
7024 AIRWAY AVE, SUITE D, YUCCA VALLEY, CA 92284-3069
(760) 228-1381
(760) 228-1481

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
222
OK
231H00000X
Audiologist
Primary
AU1864
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
612095900
DEPARTMENT OF LABOR
CA
05
AU0018640
CA
01
ZZZ62950Z, ZZZ62951Z
BLUE SHIELD
CA
Enumeration date
07/19/2006
Last updated
08/21/2015
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