Individual provider · Type 1 NPI

Dominique Jenetta Williams

Student in an Organized Health Care Education/Training Program · Fort Washington, MD

NPI number 1881579712 Active

Practice location

8507 Oxon Hill Rd Ste 200
Fort Washington, MD 20744-4774

Call (575) 904-0959 Map

Mailing address

4658 Presidential Pkwy
Macon, GA 31206-8708

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881579712

Dominique Jenetta Williams's National Provider Identifier is 1881579712, issued on Aug 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Washington, MD. The record was last updated on Aug 8, 2025.