Individual
SHIRLESTINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 FOUNTAIN ST, ROCKY MOUNT, NC 27801-3526
(252) 813-1819
Mailing address
PO BOX 143, ROCKY MOUNT, NC 27802-0143
(252) 813-1819
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
88-3768507
NC
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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