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Individual

MRS. DAVEEDA GAILES WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PROVIDER

Contact information

Practice address
4618 VERBENA ST, TEXARKANA, TX 75503-2154
(903) 276-4210
(430) 200-0403
Mailing address
4618 VERBENA ST, TEXARKANA, TX 75503-2154
(903) 276-4210
(430) 200-0403

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
NA10017951
TX
291U00000X
Clinical Medical Laboratory
Primary
NA10017951
TX

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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