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Individual

ANGEL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1449 TITA ST, NEW ORLEANS, LA 70114-3127
(504) 351-9854
Mailing address
1449 TITA ST, NEW ORLEANS, LA 70114-3127
(504) 351-9854

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
127816
LA

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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