Most Relevant Information
Provider Data
| NPI Number: | 1003824988 |
| Provider Name: | ROSHALDA CLINTONA WILLIAMS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA11780 |
Most Important Dates
| Enumeration Date: | 08/04/2006 |
| Last Updated: | 11/19/2009 |
Provider Practice Location
1025 W OLYMPIC BLVD
LOS ANGELES
CA
900151329
Practice Location Phone/Fax
| Phone: | 2132360313 |
| Fax: | 2132395010 |
Provider Mailing Location
1025 W OLYMPIC BLVD
LOS ANGELES
CA
900151329
Provider Mailing Phone/Fax
| Phone: | 2132360313 |
| Fax: | 2132395010 |