Individual
MRS. LA TONJA SHERISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EVERGREEN ST, BUNKIE, LA 71322-1304
(318) 346-4091
(318) 346-7513
Mailing address
100 EVERGREEN ST, BUNKIE, LA 71322-1304
(318) 346-4091
(318) 346-7513
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
003342076
LA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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