Individual
MR. DAMION DARYL ST. CLAIR WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4031 DE REIMER AVE, PH, BRONX, NY 10466-2320
(352) 328-2117
Mailing address
4031 DE REIMER AVE., PH, BRONX, NY 10466-2320
(352) 328-2117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302978-1
NY
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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