Individual
COREY ASHLEY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
524 CAGUA DR SE, ALBUQUERQUE, NM 87108-3714
(505) 463-9283
Mailing address
524 CAGUA DR SE, ALBUQUERQUE, NM 87108-3714
(505) 463-9283
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
01/30/2025
Last updated
03/01/2025
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