Individual
MRS. JENNIFER LYNN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22711 60TH AVE, MARION, MI 49665-8195
(231) 468-4727
Mailing address
PO BOX 914, CADILLAC, MI 49601-0914
(231) 468-4727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703082281
MI
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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