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Individual

LEYANNA MARIE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
454 BROADWAY, REVERE, MA 02151-3034
(781) 485-8200
Mailing address
225B FALLON RD, STONEHAM, MA 02180-2903
(857) 250-7611

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2296332
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2296332
RN
MA
Enumeration date
09/18/2017
Last updated
09/18/2017
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