Williams, Jalisa

Williams, Jalisa is an sole proprietor health care provider with primary practice located at 10825 Key Haven Blvd Apt 604 , Jacksonville FL 32218-6423. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Williams, Jalisa can be contacted via phone (904) 599-1759.

Contact Information

Primary practice address
10825 Key Haven Blvd Apt 604 Jacksonville FL 32218-6423
Phone: (904) 599-1759
Fax: (904) 683-9484
Website:
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Health care specialties

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

Profile Details

NPI number 1306382320
LBN Legal business name Williams, Jalisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - about 9 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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