Williamson, Charlaine Ida

Williamson, Charlaine Ida is an individual health care provider with primary practice located at 9170 Haven Ave Ste 120 , Rancho Cucamonga CA 91730-5416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williamson, Charlaine Ida can be contacted via phone (909) 476-8700.

Contact Information

Primary practice address
9170 Haven Ave Ste 120 Rancho Cucamonga CA 91730-5416
Fax: (909) 987-1400
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19923 California

Profile Details

NPI number 1932408960
LBN Legal business name Williamson, Charlaine Ida
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2011
Last updated Apr 13th, 2021 - about 3 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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