Individual
MRS. KIZZY WILLIAMS ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 VETERANS BLVD, DONALDSONVILLE, LA 70346-2450
(225) 717-0022
Mailing address
PO BOX 194, SORRENTO, LA 70778-0194
(225) 717-0022
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011136336
DRIVERS LICENSE
LA
Enumeration date
10/16/2019
Last updated
10/18/2019
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