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Contact Information

DEMETRIUS WILLIAMS
4109 VIA MAR
SAN LUIS REY, CA92057
 Phone: 619-949-8896
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for DEMETRIUS WILLIAMS · (Male)

NPI Number 1013784776
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2023
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 00074153
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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