Individual
TIFFINNIE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 KENWOOD ST, HAMMOND, IN 46320-2723
(219) 293-5649
Mailing address
1017 KENWOOD ST, HAMMOND, IN 46320-2723
(219) 293-5649
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
201803011243580
IN
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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