Individual
LATOYA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 WARNER AVE, JACKSON, MS 39213-5404
(601) 497-7155
Mailing address
4111 WARNER AVE, JACKSON, MS 39213-5404
(601) 497-7155
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A05337
MS
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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