Individual
SHAMONE LANIECE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 OAK ST APT B, RAYNE, LA 70578-4703
(205) 613-1792
Mailing address
405 OAK ST APT B, RAYNE, LA 70578-4703
(205) 613-1792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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