Individual
MR. JAY BARRY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(831) 214-0623
Mailing address
624 QUINCY ST, RENO, NV 89512-3526
(831) 214-0623
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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