Individual
JANIELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Mailing address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 136146-M-IV
OH
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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