Individual
MISS KRYSTAL SHARMEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA RMA, AASCJ
Contact information
Practice address
18803 GARFIELD, REDFORD, MI 48240
(313) 687-2479
Mailing address
17405 BRADY, REDFORD, MI 48240-2124
(313) 687-2479
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
374U00000X
Home Health Aide
Primary
272891446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272891446
—
MI
05
—
5715983
—
MI
Enumeration date
08/12/2010
Last updated
09/18/2024
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