Individual
TEQUILLA WILLIAMS-YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 LINWOOD DR APT 2-6, GAINESVILLE, GA 30501-1151
(770) 533-1844
Mailing address
392 LINWOOD DR APT 2-6, GAINESVILLE, GA 30501-1151
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CO0083755
GA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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