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Individual

TRAVIA LINETTE WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2959 SHERWOOD ST, BATON ROUGE, LA 70805
(225) 726-6252
Mailing address
2959 SHERWOOD ST, BATON ROUGE, LA 70805-4058
(225) 726-6252

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
47-3957036
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366823395
LA
Enumeration date
06/16/2015
Last updated
06/16/2015
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