Individual
MS. LATRICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 CHESTERWOOD DR, MEMPHIS, TN 38118-6436
(901) 562-6855
Mailing address
3629 CHESTERWOOD DR, MEMPHIS, TN 38118-6436
(901) 562-6855
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
082040331
TN
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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