Individual
KENYETA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3669 22ND ST SE, WASHINGTON, DC 20020-6163
(202) 492-6629
Mailing address
3669 22ND ST SE, WASHINGTON, DC 20020-6163
(202) 492-6629
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
12188
DC
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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