Individual
MS. JALIS LATOY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10307 W DENTON LN, GLENDALE, AZ 85307-4255
(480) 886-8733
Mailing address
10307 W DENTON LN, GLENDALE, AZ 85307-4255
(480) 886-8733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CNA1000039520
AZ
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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