Individual
LAQUANDRA SHANTEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1138 LEXINGTON AVE, COLUMBUS, OH 43201-2939
(614) 373-2856
Mailing address
1138 LEXINGTON AVE, COLUMBUS, OH 43201-2939
(614) 373-2856
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
DTI.005366
—
3747P1801X
Personal Care Attendant
Primary
0259743
OH
376K00000X
Nurse's Aide
400508605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259743
—
OH
Enumeration date
05/02/2018
Last updated
05/02/2018
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