Individual
ELMIRA LAKISHA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
630 LYNN ST, MURFREESBORO, TN 37129-2427
(629) 238-1560
Mailing address
630 LYNN ST, MURFREESBORO, TN 37129-2427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
193455
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TN
Enumeration date
09/06/2022
Last updated
09/06/2022
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