Individual
ANITRA GAIL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
790 ROBERTS DR, MONTICELLO, AR 71655
(870) 367-2461
(870) 367-0348
Mailing address
PO BOX 300, WILMAR, AZ 71675
(870) 469-5006
(870) 367-0348
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43440
AR
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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