Individual
SHANNA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 EMERALDA RD, ORLANDO, FL 32808-6207
(321) 666-4326
Mailing address
1204 EMERALDA RD, ORLANDO, FL 32808-6207
(321) 666-4326
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA4023
FL
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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