Individual
JERI WILHITE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALHM
Contact information
Practice address
3862 N MELODY ST, KINGMAN, AZ 86409-3305
(928) 757-9145
(928) 757-9145
Mailing address
3862 N MELODY ST, KINGMAN, AZ 86409-3305
(928) 757-9145
(928) 757-9145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4173H
AZ
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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