Individual
ANAISE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 EMERALD PINES CT APT 12, LAFAYETTE, IN 47905-6544
(773) 964-8831
Mailing address
40 EMERALD PINES CT APT 12, LAFAYETTE, IN 47905-6544
(773) 964-8831
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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