Individual
DYNASTY MARIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11861 COURSEY BLVD, BATON ROUGE, LA 70816-4404
(225) 612-8656
(225) 341-8774
Mailing address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 612-8656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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