Individual
JAQUANDRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 INDIAN LAKE DR APT 153, MORROW, GA 30260-3085
(318) 730-9601
Mailing address
153 INDIAN LAKE DR APT 153, MORROW, GA 30260-3085
(318) 730-9601
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
GA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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