Individual
MRS. SHARISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 BLACK JACK CT, BLACK JACK, MO 63033-2326
(314) 972-1624
(314) 653-0545
Mailing address
50 BLACK JACK CT, BLACK JACK, MO 63033-2326
(314) 653-0500
(314) 653-0545
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
11/30/2009
Last updated
06/15/2011
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