Individual
SHAWNTEANIKA MARCIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10002 RENO RD, TYLER, TX 75704-3927
(903) 352-8916
(469) 930-5905
Mailing address
10002 RENO RD, TYLER, TX 75704-3927
(903) 352-8916
(469) 930-5905
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A7Z9K8D7
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S5125
ATTENDANT CARE
TX
Enumeration date
01/10/2022
Last updated
01/10/2022
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