Individual
SHANQUETRIS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
613 CRABAPPLE PL, MACON, GA 31217-5575
(478) 365-4458
Mailing address
613 CRABAPPLE PL, MACON, GA 31217-5575
(478) 365-4458
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030041243
GA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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