SearchOhio164W00000X

Dezirae Williams

NPI 1700640422 · on the registry since 2024 · sole proprietor

Practice

Address
1448 Wiley St
Fairborn, OH 45324
Phone
(937) 284-2071

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio