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NPI Code Detail

MEDICARE: DAPHNE WILLIAMS

MEDICARE: DAPHNE WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W452135016977OTHERMDMARYLAND DRIVERS LICENSE

General Provider Information

NPI Number : 1619527405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAPHNE WILLIAMS
Provider Business Mailing Address
First Line : 3298 FORT LINCOLN DR NE APT 511
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4318
Country : US
Telephone Number : 202-526-5154
Fax Number :
Provider Business Practice Location Address
First Line : 3298 FORT LINCOLN DR NE APT 511
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4318
Country : US
Telephone Number : 202-526-5154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 09/13/2019

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Directions to “ DAPHNE WILLIAMS ” Practice Location

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