Provider Demographics
NPI:1417054339
Name:WILLIAMS, TERESA MAE (HEATH CARE TECH)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:MAE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:HEATH CARE TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 ALASKAN WAY S
Mailing Address - Street 2:ATTN MEDICAL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-1102
Mailing Address - Country:US
Mailing Address - Phone:206-217-6432
Mailing Address - Fax:808-842-2871
Practice Address - Street 1:1519 ALASKAN WAY S
Practice Address - Street 2:ATTN MEDICAL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-1102
Practice Address - Country:US
Practice Address - Phone:206-217-6432
Practice Address - Fax:808-842-2871
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other