Provider Demographics
NPI:1336430677
Name:WILLIAMS, RONALD JAMES SR (RESP CARE PRACTIONER)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:RESP CARE PRACTIONER
Other - Prefix:
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Mailing Address - Street 1:1017 S MAYO AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-4316
Mailing Address - Country:US
Mailing Address - Phone:800-591-9489
Mailing Address - Fax:800-863-5637
Practice Address - Street 1:235 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3162
Practice Address - Country:US
Practice Address - Phone:800-591-9489
Practice Address - Fax:800-863-5637
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARCP9700332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies