Individual
LA'TOYA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 CLAY ST, VICKSBURG, MS 39183-2912
(601) 738-5820
(601) 738-5083
Mailing address
1110 CLAY ST, VICKSBURG, MS 39183-2912
(601) 738-5820
(601) 738-5083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325114
MS
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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