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Individual

ANNE M. WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(619) 260-7002
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN339067
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F810
CHAMPUS
CA
01
P00102058
RAILROAD MEDICARE
05
RN339067
CA
Enumeration date
02/10/2006
Last updated
06/30/2009
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