Williams, Dominic Desean

Williams, Dominic Desean is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, which is considered as his primary health care specialty. Williams, Dominic Desean can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Fax:
Website:

Health care specialties

Profile Details

NPI number 1114661568
LBN Legal business name Williams, Dominic Desean
Credentials RKT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2022
Last updated Apr 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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