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Individual
QUINCY WASHINGTON
Active
Individual
QUINCY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT, CSNC,WLS, CWC
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1231038542
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W24985061
STATE LICENSE
—
Enumeration date
04/26/2024
Last updated
04/27/2024
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