Individual
DR. JUAN DEON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2843 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 750-2889
Mailing address
817 E BERRY ST, FORT WAYNE, IN 46803-3905
(260) 418-6528
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
BA11300072
IN
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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