Individual
MRS. TANESHA MARNISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5831 ERIE ST, HAMMOND, IN 46324
(219) 853-0762
Mailing address
6707 MAGOUN AVE, HAMMOND, IN 46324
(219) 554-0409
(219) 554-0409
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
CNA0301514
IN
374U00000X
Home Health Aide
Primary
HHA0501037
IN
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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