Individual
DIVA MARIE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 FEBRUARY LN, GRAND PRAIRIE, TX 75050-3023
(469) 494-8433
Mailing address
2333 FEBRUARY LN, GRAND PRAIRIE, TX 75050-3023
(469) 494-8433
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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