Individual
CALESHIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 E 18TH ST APT F1, BROOKLYN, NY 11226-2730
(999) 999-9999
Mailing address
20 E 18TH ST APT F1, BROOKLYN, NY 11226-2730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341122
NY
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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