Individual
CHARLES DAVID WASHINGTON JR,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1592 GALLIA ROAD, GLENWOOD, WV 25520-1145
(304) 429-6741
Mailing address
1592 GALLIA ROAD, GLENWOOD, WV 25520-1145
(304) 429-6741
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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