Individual
AUTUMN SHOLVHON WASHINGTON-SANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
649 E ALBERTONI ST STE 100, CARSON, CA 90746-1538
(310) 436-9300
Mailing address
649 E ALBERTONI ST STE 100, CARSON, CA 90746-1538
(310) 436-9300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
05/08/2025
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