Individual
STEPHANIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 DURYEA AVE, MOUNT VERNON, NY 10550-4810
(914) 513-8743
Mailing address
29 DURYEA AVENUE, MT VERNON, NY 10550
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
341647670601E
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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