NPI 1750906301

Denisha Louise Williams, HAIRLOSSSPECIALIST

Practitioner Prosthetist Gulfport, MS

Practice location

Address: 828 Pass Rd STE C, Gulfport, MS 39501-6437
Phone: (228) 547-4074

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 0013087 (MS)

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Registry record

NPI: 1750906301
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2020
Record last updated: 15 Jun 2020

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.