Individual
LATOYAL TANEKA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 EDGEWOOD AVE W, JACKSONVILLE, FL 32209-2453
(904) 732-0122
Mailing address
2320 EDGEWOOD AVE W, JACKSONVILLE, FL 32209-2453
(904) 732-0122
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
FL
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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