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Individual

MISS ANNIE JEAN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
716 S FLORISSANT RD, SAINT LOUIS, MO 63135-2984
(314) 522-6414
(314) 522-1934
Mailing address
716 S FLORISSANT RD, SAINT LOUIS, MO 63135-2984
(314) 522-6414
(314) 522-1934

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0003703
MO
372500000X
Chore Provider
0003703
MO
374U00000X
Home Health Aide
Primary
0003703
MO
376J00000X
Homemaker
0003703
MO
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269738407
MO
05
289738403
MO
Enumeration date
09/26/2006
Last updated
03/03/2017
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