Individual
MARY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SERENITY LOOP, LAKE WALES, FL 33859-6829
(678) 431-9440
Mailing address
120 SERENITY LOOP, LAKE WALES, FL 33859-6829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9673998
FL
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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