Individual
EBONY J WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N JONES BLVD APT 102, LAS VEGAS, NV 89108-1653
(213) 453-9333
Mailing address
1205 N JONES BLVD APT 102, LAS VEGAS, NV 89108-1653
(213) 453-9333
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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