Individual
PRINCE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 CAMPUS CTR, SEASIDE, CA 93955-8000
(831) 582-3010
Mailing address
1108 JACKSON CT, MARINA, CA 93933-5032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060502048
CA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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