Individual
LAVONIA SHANETTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10580 NE 77TH PL, BRONSON, FL 32621-4646
(352) 328-8738
Mailing address
10580 NE 77TH PL, BRONSON, FL 32621-4646
(352) 328-8738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9348563
FL
163W00000X
Registered Nurse
RN9348563
FL
Other
Enumeration date
11/10/2015
Last updated
03/07/2024
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