Provider Demographics
NPI:1568853307
Name:WILLIAMS, FRANCES M (DIETITIAN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5972
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92838-0972
Mailing Address - Country:US
Mailing Address - Phone:714-525-5528
Mailing Address - Fax:
Practice Address - Street 1:3301 TWIGHT DR.
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92838-0972
Practice Address - Country:US
Practice Address - Phone:714-525-5528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA845036133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMNT846036Medicare PIN