Individual
MRS. SERENA RAE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, CD
Contact information
Practice address
622 CARLISLE AVE, DAYTON, OH 45410-2737
(937) 522-1816
Mailing address
622 CARLISLE AVE, DAYTON, OH 45410-2737
(937) 522-1816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
10/28/2019
Last updated
08/11/2022
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