Provider Demographics
NPI:1356862296
Name:WILLIAMS, DANIAL RAMON
Entity Type:Individual
Prefix:
First Name:DANIAL
Middle Name:RAMON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 ROCHELLE AVE
Mailing Address - Street 2:APT 1022
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747
Mailing Address - Country:US
Mailing Address - Phone:202-702-9449
Mailing Address - Fax:
Practice Address - Street 1:2202 SAVANNAH ST SE APT 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7540
Practice Address - Country:US
Practice Address - Phone:202-709-2493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant