Williams, Shavonda

Williams, Shavonda is an individual health care provider with primary practice located at 715 N Lake Ave , Lakeland FL 33801-1908. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Williams, Shavonda can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
715 N Lake Ave Lakeland FL 33801-1908
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1063989499
LBN Legal business name Williams, Shavonda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Oct 24th, 2018 - about 7 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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