Individual
AYESHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3615 CLARENDON RD, BROOKLYN, NY 11203-5103
(718) 693-6455
Mailing address
3615 CLARENDON ROAD, BROOKLYN, NY 11203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2444551
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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