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Individual

MS. TANOVIA L. WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
904 N 21ST ST, FORT PIERCE, FL 34950-6013
(772) 882-9450
(717) 924-5632
Mailing address
904 N 21ST ST, FORT PIERCE, FL 34950-6013
(772) 882-9450
(717) 924-5632

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Enumeration date
01/06/2009
Last updated
01/06/2009
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