Individual provider · NPI-1

Justin Williams

Radiologic Technologist · Fresno, CA

NPI number1053649400
StatusActive
Last updated in NPPESNov 23, 2009

Details

NPI
1053649400
Entity type
Individual (NPI-1)
Name
Justin Williams
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 23, 2009
Last updated
Nov 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic TechnologistRHF00094694CAYes

Practice location

6599 N Sherman Ave
Fresno, CA 93710-3923

Phone 559-790-6929

Mailing address

6599 N Sherman Ave
Fresno, CA 93710-3923

Phone 559-790-6929

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