Individual
LACRAVIONNE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 BUCKINGHAM RD, RICHARDSON, TX 75081-5779
(469) 882-4695
Mailing address
411 BUCKINGHAM RD, RICHARDSON, TX 75081-5779
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
Other
Enumeration date
01/02/2022
Last updated
01/02/2022
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