Individual
ASHANTE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 E POLK ST, PHOENIX, AZ 85006-3687
(510) 850-0509
Mailing address
PO BOX 5456, OAKLAND, CA 94605-0456
(510) 850-0509
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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