Individual
MS. DIANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2314 S CRYSTAL LAKE DR, LAKELAND, FL 33801-6615
(863) 838-9337
Mailing address
2314 S CRYSTAL LAKE DR, LAKELAND, FL 33801-6615
(863) 838-9337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5195464
FL
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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