Individual
WAVENEY GITTENS-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO/ADMINISTRATOR
Contact information
Practice address
3706 W. IDLE WILD CIR #203, TAMPA, FL 33614
(813) 446-0162
(813) 348-2993
Mailing address
3706 W IDLEWILD CIR APT 203, TAMPA, FL 33614-5754
(813) 446-0162
(813) 348-2993
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
FL
372600000X
Adult Companion
Primary
234950
FL
376J00000X
Homemaker
234950
FL
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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