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Individual
TEAWANA WASHINGTON
Active
Individual
TEAWANA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT/PN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.187586
OH
251E00000X
Home Health Agency
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
08/16/2023
Last updated
05/22/2024
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