Individual
DOMQENIQUE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA HHA
Contact information
Practice address
1216 GRAY AVE APT 2F, UTICA, NY 13502-3967
(315) 542-4209
Mailing address
1216 GRAY AVE APT 2F, UTICA, NY 13502-3967
(315) 542-4209
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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