Individual
STEPHANIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 EASTERN AVENUE NE, WASHINGTON, DC 20019
(202) 679-9468
Mailing address
474 EASTERN AVE NE, WASHINGTON, DC 20019-2824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP46982
MD
164W00000X
Licensed Practical Nurse
Primary
LPN961244
DC
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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