Individual
MAYA SIMONE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
528 WINDY HILL ACRES LN, CHESTERFIELD, MO 63017-5900
(314) 681-7424
Mailing address
528 WINDY HILL ACRES LN, CHESTERFIELD, MO 63017-5900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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