Individual
LARONICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 STATE STREET EXT, BENNETTSVILLE, SC 29512-4537
(843) 439-1311
Mailing address
605 STATE STREET EXT, BENNETTSVILLE, SC 29512-4537
(843) 439-1311
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
10/24/2024
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