Individual
MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8590 PRODUCTION AVE, SUITE B, SAN DIEGO, CA 92121-2281
(866) 632-2823
(866) 463-8141
Mailing address
8590 PRODUCTION AVE, SUITE B, SAN DIEGO, CA 92121-2281
(866) 632-2823
(866) 463-8141
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
986938
CA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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