Individual
SANTANA LASHONDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3692 CR 752, WEBSTER, FL 33597-4238
(813) 316-8933
Mailing address
PO BOX 404, WEBSTER, FL 33597-0404
(813) 316-8933
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
04/23/2019
Last updated
09/01/2020
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