person
Latarsha Williams
Customized Equipment (DME) in Dorchester, Massachusetts
NPI 1154837227

Latarsha Williams is a Customized Equipment (DME) based in Dorchester, MA and is specialized in Customized Equipment. Latarsha Williams practices in Dorchester, MA. The NPI Number for Latarsha Williams is 1154837227 and holds a License No. 58895 (Massachusetts).

The current practice location address for Latarsha Williams is 84 Welles Ave, Dorchester, MA and can be reached out via phone at 617-436-8400.

Location: 84 Welles Ave, Dorchester, MA, 02122-1232
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Provider Profile Details
NPI Number
1154837227
Provider Name
Latarsha Williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
84 Welles Ave, Dorchester, MA, 02122-1232
Phone Number
617-436-8400
Fax Number
Provider Enumeration Date
12/27/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58895 01 MA MA STATE COCOSMETOLOGY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
84 Welles Ave
City
State
Zip
02124-2444
Phone Number
617-436-8400
Fax Number
person
Provider Business Mailing Address Details
Address
84 Welles Ave
City
State
Zip
02124-2444
Phone Number
617-436-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
58895 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
58895 (Massachusetts)
Definition
Definition to come...
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