Healthcare Provider Details

I. General information

NPI: 1881854016
Provider Name (Legal Business Name): SHERYL WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N THESTA ST SUITE 303
FRESNO CA
93710-8603
US

IV. Provider business mailing address

PO BOX 9273
FRESNO CA
93791-9273
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-4500
  • Fax:
Mailing address:
  • Phone: 559-225-0053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: