Individual provider · Type 1 NPI

Latarsha Williams

Customized Equipment (DME) · Dorchester, MA

NPI number 1154837227 Active

Practice location

84 Welles Ave
Dorchester, MA 02124-2444

Mailing address

337 Adams St
Dorchester, MA 02122-1232

Specialties and licenses

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X58895 (MA)
Customized Equipment (DME) Primary 332BC3200X58895 (MA)

Customized Equipment (DME): Definition to come...

About NPI 1154837227

Latarsha Williams's National Provider Identifier is 1154837227, issued on Dec 27, 2017. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Dorchester, MA. The record was last updated on Jun 16, 2018.