Individual
TAEASHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 BEDFORD ST, DETROIT, MI 48224-3617
(313) 825-9554
Mailing address
3690 BEDFORD ST, DETROIT, MI 48224-3617
(313) 825-9554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112822
MI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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