Provider Demographics
NPI:1215160593
Name:WILLIAMS, INDIA CAESAR
Entity type:Individual
Prefix:MRS
First Name:INDIA
Middle Name:CAESAR
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:INDIA
Other - Middle Name:AQUANETTA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13528 DELANEY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-4621
Mailing Address - Country:US
Mailing Address - Phone:703-878-0944
Mailing Address - Fax:703-878-0944
Practice Address - Street 1:13528 DELANEY RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-4621
Practice Address - Country:US
Practice Address - Phone:703-878-0944
Practice Address - Fax:703-878-0944
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion