Provider Demographics
NPI:1093472540
Name:WILLIAMS, ALETHEA (STUDENT)
Entity Type:Individual
Prefix:MS
First Name:ALETHEA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22382 E ONTARIO DR APT 925G
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2756
Mailing Address - Country:US
Mailing Address - Phone:303-856-8551
Mailing Address - Fax:
Practice Address - Street 1:22382 E ONTARIO DR APT 925G
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2756
Practice Address - Country:US
Practice Address - Phone:303-856-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program