Individual
MRS. JEANNETTE MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1143 MISSOURI ST, FAIRFIELD, CA 94533-6007
(707) 435-9911
(707) 435-0704
Mailing address
809 EMPEROR DR, SUISUN CITY, CA 94585-2163
(707) 435-1932
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN154487
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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