Individual
ANDREA DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 KNOB HILL DR, 227 KILMAINE COURT, JACKSON, MS 39209-2822
(601) 850-6487
(601) 960-1776
Mailing address
319 KNOB HILL DR, 227 KILMAINE COURT, JACKSON, MS 39209-2822
(601) 850-6487
(601) 960-1776
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
801544000
MS
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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