Individual
LATISHA ALEXANDRIA RENEE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FRANCAM DR STE 124, FAYETTEVILLE, NC 28311-4500
(910) 229-3924
Mailing address
9581 MOUNTAIN HOME DR, FAYETTEVILLE, NC 28314-5762
(910) 261-1376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20583
NC
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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