Individual
EUNIQUA LASHAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
812 LAUSANNE DRIVE, VALDOSTA, GA 31601
(229) 630-1224
Mailing address
812 LAUSANNE DRIVE, VALDOSTA, GA 31601
(229) 630-1224
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
057033330
GA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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