Individual
KIFFANY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 PRINCETON ST, APT.15, FORREST CITY, AR 72335-2658
(901) 412-5980
Mailing address
1015 PRINCETON ST, APT.15, FORREST CITY, AR 72335-2658
(901) 412-5980
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
050354920511E
AR
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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