Individual
ELMIRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 SHAW RD APT 321, JACKSON, MS 39209-3578
(601) 500-1905
Mailing address
5360 I 55 N, JACKSON, MS 39211-4055
(769) 572-7261
(769) 572-7319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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