Individual
ZAQUEJ WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4842 N WARNOCK ST, PHILADELPHIA, PA 19141-3941
(267) 388-1806
Mailing address
4842 N WARNOCK ST, PHILADELPHIA, PA 19141-3941
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN308396
PA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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