Individual
MR. NIKKI E WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
19528 83RD ST #7, BRISTOL, WI 53104
(262) 891-3215
Mailing address
19528 83RD STREET, TWNHSE 7, BRISTOL, WI 53104
(262) 891-3215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311415-031
WI
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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