Individual
MISTY MARION WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13440 N 44TH ST, #2205, PHOENIX, AZ 85032-6351
(602) 663-8660
Mailing address
13440 N 44TH ST, #2205, PHOENIX, AZ 85032-6351
(602) 663-8660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049552
AZ
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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