Individual
MRS. DISHONDER ANTHEA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LAFAYETTE BLVD APT G, WILLIAMSBURG, VA 23188-1610
(770) 896-1054
Mailing address
110 LAFAYETTE BLVD APT G, WILLIAMSBURG, VA 23188-1610
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374700000X
Technician
0031010496
VA
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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