Individual
JACYNA ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S 108TH ST, MILWAUKEE, WI 53227-3224
(414) 916-2596
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 494-2486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326477-31
WI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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