Individual
MISS DEIDRA RACHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2531 W REESE GROVE CT, #201, BARTLETT, TN 38133-8533
(901) 577-0200
(901) 577-0207
Mailing address
2531 W REESE GROVE CT, #201, BARTLETT, TN 38133-8533
(901) 577-0200
(901) 577-0207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L45702
AR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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