Individual
MRS. SIMONE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 N ARROWHEAD AVE, RIALTO, CA 92377-4564
(909) 562-4101
Mailing address
2235 NORTH ARROWHEAD AVE., RIALTO, N/A 92377
(909) 562-4101
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
366423954
CA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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