Basic Information
| Provider Information | |||||||||
| NPI: | 1881854016 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | SHERYL | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 9273 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937919273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592250053 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6121 N THESTA ST | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937108603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592614500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2008 | ||||||||
| LastUpdateDate: | 06/11/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133NN1002X | Y | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education |
No ID Information.