Most Relevant Information
Provider Data
| NPI Number: | 1003312588 |
| Provider Name: | KRYSTAL WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 20130150 |
Most Important Dates
| Enumeration Date: | 04/03/2018 |
| Last Updated: | 04/03/2018 |
Provider Practice Location
1440 HAWN AVE
SHREVEPORT
LA
711076532
Practice Location Phone/Fax
| Phone: | 3182265990 |
| Fax: |
Provider Mailing Location
1440 HAWN AVE
SHREVEPORT
LA
711076532
Provider Mailing Phone/Fax
| Phone: | 3182265990 |
| Fax: |