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Clarence Williams Jr.

Nurse's Aide in Bedford, OH. Individual provider (NPI-1).

NPI number1346892809
StatusActive
Last updated in NPPESJul 15, 2019

Details

NPI
1346892809
Entity type
Individual (NPI-1)
Name
Clarence Williams Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 15, 2019
Last updated
Jul 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide401652130514OHYes

Practice location

144 Wandle Ave
Bedford, OH 44146-2656

Phone 216-924-8335

Mailing address

144 Wandle Ave
Bedford, OH 44146-2656

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