Healthcare Provider Details

I. General information

NPI: 1073334082
Provider Name (Legal Business Name): HANNAH WILLIAMSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UNIVERSAL CITY PLZ
UNIVERSAL CITY CA
91608-1002
US

IV. Provider business mailing address

488 W DUARTE RD APT 6
ARCADIA CA
91007-6839
US

V. Phone/Fax

Practice location:
  • Phone: 818-903-7716
  • Fax:
Mailing address:
  • Phone: 818-903-7716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: