Individual
MS. GLORIA LORAINE WASHINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
537 GEORGE WATSON ST, ORANGE PARK, FL 32073-8556
(904) 298-1676
Mailing address
537 GEORGE WATSON ST, ORANGE PARK, FL 32073-8556
(904) 298-1676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5172391
FL
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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