NPI 1346484805

Rachonn Shalette Williamson, IDMT

Practitioner Independent Duty Medical Technicians Barksdale Afb, LA

Practice location

Address: 243 Curtiss Rd St 100 (2amds/Sgpf), Barksdale Afb, LA 71110-2425
Phone: (318) 456-6418
Fax: (318) 456-8065
Mailing address: 243 Curtiss Rd 2 Amds/Sgpf (suite 100), Barksdale Afb, LA 71110-2425

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1346484805
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2009
Record last updated: 30 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.