Individual
DEVON MARIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 DURST DR, ENGLEWOOD, OH 45322-2323
(937) 269-7890
Mailing address
531 S 3RD ST, TIPP CITY, OH 45371-1729
(937) 269-7890
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157782
—
OH
Enumeration date
10/05/2020
Last updated
10/05/2020
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