Individual
TARANESHIA LASHAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2886 GREENVIEW DR, JACKSON, MS 39212-2916
(769) 257-2976
Mailing address
2886 GREENVIEW DR, JACKSON, MS 39212-2916
(769) 257-2976
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A067790
MS
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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