Kadijah Simone Williams
Rehabilitation Practitioner in Long Beach, CA. Individual provider (NPI-1).
NPI number1760620769
StatusActive
Last updated in NPPESJan 29, 2009
Details
- NPI
- 1760620769
- Entity type
- Individual (NPI-1)
- Name
- Kadijah Simone Williams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2009
- Last updated
- Jan 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
4300 Long Beach BlvdLong Beach, CA 90807-2011
Phone 661-618-6143
Mailing address
4913 1/4 Hayter AveLakewood, CA 90712-3110
Phone 661-618-6143
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