Individual
JAWANZA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3316 MASTERCRAFT AVE, N LAS VEGAS, NV 89031-7239
(702) 929-1438
Mailing address
3316 MASTERCRAFT AVE, N LAS VEGAS, NV 89031-7239
(702) 929-1438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN14611
NV
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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