Individual
KOLITA LA TOSHIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
116 N CONGRESS ST, YORK, SC 29745-1531
(803) 684-7004
Mailing address
116 N CONGRESS ST, YORK, SC 29745-1531
(803) 684-7004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71659
NC
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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