Individual
TERRYANN MARIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 MARPLE ST, PHILADELPHIA, PA 19136-3608
(267) 632-6385
Mailing address
11852 BASILE RD, PHILADELPHIA, PA 19154-2523
(267) 632-6385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
340
PA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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