Individual
LA WANDA DEMETRIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NORTHTOWN DR APT 7A, JACKSON, MS 39211-3076
(769) 798-6689
Mailing address
50 NORTHTOWN DR APT 7A, JACKSON, MS 39211-3076
(769) 798-6689
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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