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Individual

SHANTINIQUE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 PERRIN CENTRAL BLVD APT 311, SAN ANTONIO, TX 78217-2749
(210) 966-6371
Mailing address
3800 PERRIN CENTRAL BLVD APT 311, SAN ANTONIO, TX 78217-2749
(210) 966-6371

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
022488
TX
3747P1801X
Personal Care Attendant
022488
TX

Other

Enumeration date
09/07/2023
Last updated
01/18/2024
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