Individual
LATIA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2324 JARMAN ST # STD, MUSKEGON, MI 49444-1681
(231) 683-0311
Mailing address
2324 JARMAN ST # STD, MUSKEGON, MI 49444-1681
(231) 683-0311
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
MI
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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