Individual
LISANDRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 N BODINE ST, PHILADELPHIA, PA 19122-3701
(215) 847-6868
Mailing address
1507 N BODINE ST, PHILADELPHIA, PA 19122-3701
(215) 847-6868
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
PA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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