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NPI Code Detail

MEDICARE: NADIRAH WILLIAMS

MEDICARE: NADIRAH 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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1326409640
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIRAH WILLIAMS
Provider Business Mailing Address
First Line : 4930 NAPLES ST
Second Line : 1ST FLOOR
City : SAN DIEGO
State : CA
Zip : 92110-3820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4930 NAPLES ST
Second Line : 1ST FLOOR
City : SAN DIEGO
State : CA
Zip : 92110-3820
Country : US
Telephone Number : 619-276-1176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2016
Last Update Date : 08/14/2019

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Directions to “ NADIRAH WILLIAMS ” Practice Location

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