Individual
PATRESA HARRIS-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 EAGLE CTR # 2, O FALLON, IL 62269-1847
(618) 606-9119
Mailing address
1732 LOMBARDI CT, SWANSEA, IL 62226-7587
(205) 249-1922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209019080
IL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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