Williams, Gloria Jeanne

Williams, Gloria Jeanne is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3753. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Williams, Gloria Jeanne can be contacted via phone (360) 397-4286.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd Vancouver WA 98661-3753
Fax: (360) 397-8450
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X CP60026470 Washington

Profile Details

NPI number 1477712941
LBN Legal business name Williams, Gloria Jeanne
Credentials CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 11th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477712941 NPPES
Washington Other RC00055291 CHEMICAL DEPENDENCY PROFESSIONAL

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