Individual
CRYSTAL-LEE SIMONE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11120 169TH ST, JAMAICA, NY 11433-3920
(917) 495-6427
Mailing address
11120 169TH ST, JAMAICA, NY 11433-3920
(917) 495-6427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307447
NY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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