Individual
MR. BRANDON RYAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-5430
Mailing address
209 SINCERE ST, MONROE, LA 71203-8365
(318) 343-8681
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
981051
LA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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