Individual
JAMARA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 DOMAIN DR APT 715, MORGANTOWN, WV 26501-2528
(304) 886-5642
Mailing address
5000 DOMAIN DR APT 715, MORGANTOWN, WV 26501-2528
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800213741
STUDENT
WV
Enumeration date
08/30/2020
Last updated
08/30/2020
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