Individual
MS. DESIREE LAQUONDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16109 MENDOTA AVE, MAPLE HEIGHTS, OH 44137-4813
(216) 673-0120
Mailing address
16109 MENDOTA AVE, MAPLE HEIGHTS, OH 44137-4813
(216) 673-0120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN109879
OH
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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