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Contact Information

LATARSHA WILLIAMS
84 WELLES AVE
DORCHESTER, MA02124-2444
 Phone: 617-436-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LATARSHA WILLIAMS · (Female)

NPI # 1154837227
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2017
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 58895
  • MA Other 58895 MA STATE COCOSMETOLOGY LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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