Individual
KELLY SHANNON WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4750 AUBURN WAY N APT M305, AUBURN, WA 98002-2040
(206) 321-0824
Mailing address
4750 AUBURN WAY N APT M305, AUBURN, WA 98002-2040
(206) 321-0824
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10086828
WA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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