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Ms. Jerie Lynn Williams
Recovery Care Clinic/Center in San Pablo, California
NPI 1124687934

Jerie Lynn Williams is a Recovery Care Clinic/Center based in San Pablo, CA and is specialized in Recovery Care. Jerie Lynn Williams practices in San Pablo, CA. The NPI Number for Jerie Lynn Williams is 1124687934 and holds a License No. (California).

The current practice location address for Jerie Lynn Williams is 1901 Church Ln, San Pablo, CA and can be reached out via phone at 510-236-3134 and via fax at 510-236-3151.

Location: 1901 Church Ln, San Pablo, CA, 94806-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124687934
Provider Name
Jerie Lynn Williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
1901 Church Ln, San Pablo, CA, 94806-3707
Phone Number
510-236-3134
Fax Number
510-236-3151
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68-0127450 01 CA TAX ID #
institution
Provider Business Practice Location Address Details
Address
1901 Church Ln
City
San Pablo
State
California
Zip
94806-3707
Phone Number
510-236-3134
Fax Number
510-236-3151
person
Provider Business Mailing Address Details
Address
1901 Church Ln
City
San Pablo
State
California
Zip
94806-3707
Phone Number
510-236-3134
Fax Number
510-236-3151
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
261QR0800X
License No.
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Definition
Definition to come...
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