Individual
SHANON LATRICE WILLAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
1928 S FERN ST, WICHITA, KS 67213-3544
(316) 749-9770
Mailing address
1928 S FERN ST, WICHITA, KS 67213-3544
(316) 749-9770
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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