Individual
DESIREA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 COLLEGE DR, BATON ROUGE, LA 70808-3180
(225) 952-0776
Mailing address
5483 HOWELL PARK AVE, BATON ROUGE, LA 70805-6234
(225) 573-9121
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
015171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015171
PHARMACY TECH LICENSE
LA
Enumeration date
08/06/2022
Last updated
08/06/2022
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