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Individual

PHILLIP WASHINGTON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5025 NELLIS OASIS LN APT 244, LAS VEGAS, NV 89115-0770
(714) 499-6232
Mailing address
5025 NELLIS OASIS LN APT 244, LAS VEGAS, NV 89115-0770
(714) 499-6232

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP1600X
Pastoral Counselor
26-0-086-469
CA
172V00000X
Community Health Worker
Primary
CHW1-6167
NV

Other

Enumeration date
08/05/2015
Last updated
08/14/2025
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