Individual
MS. SHAQUANA MARIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
143 HUNTINGTON DR, MASTIC BEACH, NY 11951
(631) 729-3163
Mailing address
143 HUNTINGTON DR, MASTIC BEACH, NY 11951-6212
(631) 729-3163
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342899071209E
NY
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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