Individual
TIMIKA MARIE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 ABELLO RD SE, PALM BAY, FL 32909-8806
(321) 616-6181
Mailing address
457 ABELLO RD SE, PALM BAY, FL 32909-8806
(321) 616-6181
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024705100
—
FL
Enumeration date
10/29/2018
Last updated
11/29/2018
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