Individual
MEKENZIE LYNNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4601 MARKET ST FL 2, PHILADELPHIA, PA 19139-4636
(267) 515-1805
Mailing address
5126 CHANCELLOR ST, PHILADELPHIA, PA 19139-4109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN596793
PA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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