Deandre Williams

NPI 1942584024 · on the registry since 2011 · sole proprietor

Practice

Address: 22245 Main St
Suite 200
Hayward, CA 94541
Phone: (510) 727-9401
Fax: (510) 727-9405
Organisation at this address: Side By Side
Bay Area Youth Centers Rafa
Emannuel Care Home Health Agency, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-10-06

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 California