Individual
MR. JEZREEL WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 ANGELINA ST, WEBSTER, TX 77598-1566
(337) 254-1288
(713) 987-9199
Mailing address
PO BOX 1256, PEARLAND, TX 77588-1256
(281) 508-0739
(713) 987-9199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TX
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033589882
PERSONAL CARE ATTENDANT
TX
01
—
1184089138
PERSONAL CARE ATTENDANT
TX
Enumeration date
10/05/2015
Last updated
04/17/2022
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