Individual
WANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1000
(862) 202-1031
(314) 802-1583
Mailing address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1000
(862) 202-1031
(314) 802-1583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015032987
MO
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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