Williams, Shante Tequila

Williams, Shante Tequila is an sole proprietor health care provider with primary practice located at 1258 Holland Rd , Suffolk VA 23434-6313. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Williams, Shante Tequila can be contacted via phone (757) 809-4771.

Contact Information

Primary practice address
1258 Holland Rd Suffolk VA 23434-6313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0002079361 Virginia

Profile Details

NPI number 1568000412
LBN Legal business name Williams, Shante Tequila
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2019
Last updated Dec 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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