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Andre Williams

Contractor, Home Modifications in Jacksonville, FL. Individual provider (NPI-1).

NPI number1851600530
StatusActive
Last updated in NPPESSep 29, 2010

Details

NPI
1851600530
Entity type
Individual (NPI-1)
Name
Andre Williams
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 29, 2010
Last updated
Sep 29, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WH0202X Contractor, Home Modificationscgc1515496FLYes

Practice location

6137 Post Oak Rd W
Jacksonville, FL 32277-1554

Phone 904-705-6811

Mailing address

6137 Post Oak Rd W
Jacksonville, FL 32277-1554

Phone 904-705-6811

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