Individual
DAMA CHAMPION WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2801 N GARLAND AVE APT 80, GARLAND, TX 75040-1923
(903) 920-6436
Mailing address
2801 N GARLAND AVE APT 80, GARLAND, TX 75040-1923
(903) 920-6436
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
186345
TX
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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