Individual
LATONYA R WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N EXTENSION RD APT 156, MESA, AZ 85201-6342
(402) 612-4136
Mailing address
118 N EXTENSION RD APT 156, MESA, AZ 85201-6342
(402) 612-4136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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