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Individual

STELLA G WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642
Mailing address
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 991-5642

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001508
IA
363A00000X
Physician Assistant
760
NE

Other

Enumeration date
08/31/2006
Last updated
11/09/2016
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