Healthcare Provider Details

I. General information

NPI: 1194937755
Provider Name (Legal Business Name): MS. PHEBE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 QUESADA AVE
SAN FRANCISCO CA
94124-2334
US

IV. Provider business mailing address

2052 81ST AVE
OAKLAND CA
94621-2310
US

V. Phone/Fax

Practice location:
  • Phone: 415-822-5977
  • Fax: 415-822-5943
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: