William Loushion Mccollum

NPI #1255972303 in Wilmington, California

Provider Information

NPI Number: 1255972303
Entity Type: Individual
Name: William Loushion Mccollum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Sep 30, 2019
Last Updated: Oct 1, 2019

Practice Location

Address: 831 GULF AVE
City: Wilmington
State: California
ZIP Code: 90744-4201
Phone: (424) 533-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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