Individual
MRS. CHARLA DIANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6436 MILL RIVER TRCE, CHESTERFIELD, VA 23832-9237
(804) 912-5162
Mailing address
6436 MILL RIVER TRCE, CHESTERFIELD, VA 23832-9237
(804) 912-5162
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002050267
VA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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