Individual
MONIQUE LA SHON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
1221 MERCANTILE LN STE 203, UPPER MARLBORO, MD 20774-5374
(301) 618-7290
Mailing address
2900 MAIN LINE BLVD APT 650, ALEXANDRIA, VA 22301-2930
(571) 263-1484
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
0135000097
VA
246Z00000X
Other Specialist/Technologist
Z00016
MD
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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