Individual
DESTINEY MONIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2784 KENSINGTON PL, ROCKFORD, IL 61109-1816
(815) 382-2534
Mailing address
1907 GENOA ST, ROCKFORD, IL 61102-2613
(815) 382-2534
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1098479
TX
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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