Individual
MS. TINA RENEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
341 SHAWEN DR, HAMPTON, VA 23669-2286
(757) 725-8687
Mailing address
341 SHAWEN DR, HAMPTON, VA 23669-2286
(757) 725-8687
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401135825
VA
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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