Provider Demographics
NPI:1114564101
Name:WILLIAMS, ANA CELINA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CELINA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10650 CANYON GRV UNIT 19
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-4919
Mailing Address - Country:US
Mailing Address - Phone:858-922-6487
Mailing Address - Fax:
Practice Address - Street 1:10650 CANYON GRV UNIT 19
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-4919
Practice Address - Country:US
Practice Address - Phone:858-922-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program