NPI 1003542937

Juan Deon Williams

Practitioner Personal Care Attendant Fort Wayne, IN

Practice location

Address: 2843 E State Blvd, Fort Wayne, IN 46805-4732
Phone: (260) 750-2889
Mailing address: 817 E Berry St, Fort Wayne, IN 46803-3905

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence BA11300072 (IN)

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Registry record

NPI: 1003542937
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2022
Record last updated: 25 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.