Individual
MISS LATRAVIA LISHELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1335 HERRINGTON RD APT 2722, DULUTH, GA 30096-6422
(678) 847-8803
Mailing address
1335 HERRINGTON RD APT 2722, DULUTH, GA 30096-6422
(678) 847-8803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
CN0030021192
GA
374U00000X
Home Health Aide
CN0030021192
GA
376K00000X
Nurse's Aide
Primary
CN0030021192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN00320021192
CNA REGISTRY
GA
Enumeration date
07/09/2020
Last updated
07/09/2020
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