Individual
EDWANA DEATRICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3809 HAYWARD FIELD RD, LAS VEGAS, NV 89115-1571
(559) 644-6150
Mailing address
3809 HAYWARD FIELD RD, LAS VEGAS, NV 89115-1571
(559) 644-6150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2003674062101
NV
374U00000X
Home Health Aide
Primary
NV20171137651
NV
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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