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Individual

MEOSHA WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
44199 MONROE ST STE B, INDIO, CA 92201-3094
(760) 863-8320
Mailing address
44199 MONROE ST STE B, INDIO, CA 92201-3094
(760) 863-8320

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D1890679
DRIVERS LICENSE
CA
Enumeration date
12/15/2022
Last updated
12/15/2022
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