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Individual

ISLEAH QUIARRA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23300 PROVIDENCE DR, APT 215, SOUTHFIELD, MI 48075-3652
(313) 704-6189
Mailing address
23300 PROVIDENCE DR, APT 215, SOUTHFIELD, MI 48075-3652
(313) 704-6189

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230015057410710
MI

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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