Individual
CONNIE SUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1391 E 20TH AVE, COLUMBUS, OH 43211-2509
(614) 260-1135
Mailing address
1391 E 20TH AVE, COLUMBUS, OH 43211-2509
(614) 260-1135
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060020
—
OH
Enumeration date
07/28/2014
Last updated
07/28/2014
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