Individual
LEKISTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 10TH ST NE, CANTON, OH 44705-1406
(330) 415-0396
Mailing address
1610 10TH ST NE, CANTON, OH 44705-1406
(330) 415-0396
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401793931015
OH
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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