Provider Demographics
NPI:1811637192
Name:WILLIAMS, NATESHA RHODES (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:NATESHA
Middle Name:RHODES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 BUCCANEER RD
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-4823
Mailing Address - Country:US
Mailing Address - Phone:985-859-9586
Mailing Address - Fax:985-873-5944
Practice Address - Street 1:283 BUCCANEER RD
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-4823
Practice Address - Country:US
Practice Address - Phone:985-859-9586
Practice Address - Fax:985-873-5944
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308032156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist