Individual
CHARMAINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 PUTNAM AVENUE, LEHIGH ACRES, FL 33974
(239) 789-8406
Mailing address
420 PUTNAM AVE, LEHIGH ACRES, FL 33974-5580
(239) 789-8406
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906567
FL
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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