Individual
TONYA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FOREST VIEW DR, KINGWOOD, WV 26537-9786
(304) 698-1359
Mailing address
207 FOREST VIEW DR, KINGWOOD, WV 26537-9786
(304) 698-1359
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03904909573
—
WV
Enumeration date
04/14/2022
Last updated
04/14/2022
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