Individual
DENA RACQUEL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 390-8838
Mailing address
3625 14TH ST, RIVERSIDE, CA 92501-3815
(951) 390-8838
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
258715
CA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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