Individual
MRS. ERVENA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
177 QUEEN DR, RIDGEVILLE, SC 29472-8427
(843) 376-1037
Mailing address
PO BOX 973, RIDGEVILLE, SC 29472-0973
(843) 376-1037
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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