Individual
SHONETTE ARNEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
878 WALLER RD, EPPS, LA 71237-9345
(318) 488-1949
Mailing address
878 WALLER RD, EPPS, LA 71237-9345
(318) 488-1949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770000360554202
—
LA
Enumeration date
01/09/2017
Last updated
01/09/2017
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