Individual
DENISHA LOUISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
828 PASS RD STE C, GULFPORT, MS 39501-6437
(228) 547-4074
Mailing address
828 PASS RD STE C, GULFPORT, MS 39501-6437
(228) 547-4074
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
0013087
MS
Other
Enumeration date
06/10/2020
Last updated
06/15/2020
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