Individual
SHEREESE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SE MAIN ST, ROCKY MOUNT, NC 27801-5400
(252) 985-4165
(252) 443-4233
Mailing address
107 SE MAIN ST, ROCKY MOUNT, NC 27801-5400
(252) 985-4165
(252) 443-4233
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
HC3599
NC
374U00000X
Home Health Aide
Primary
HC3599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972664092
—
NC
Enumeration date
02/27/2023
Last updated
02/27/2023
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