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NPI Code Detail

MEDICARE: LEOLA W WILLIAMS

MEDICARE:   LEOLA W WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse421256CA

General Provider Information

NPI Number : 1316669492
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEOLA W WILLIAMS
Provider Business Mailing Address
First Line : 4802 HOLLOW CORNER RD UNIT 223
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-8559
Country : US
Telephone Number : 424-209-5448
Fax Number :
Provider Business Practice Location Address
First Line : 8200 WILSHIRE BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2328
Country : US
Telephone Number : 424-209-5448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 09/14/2022

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Directions to “ LEOLA W WILLIAMS ” Practice Location

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