Individual
JAYLA DANIELLE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 WINDER CIR E, SHREVEPORT, LA 71129-4017
(318) 402-8928
Mailing address
5605 WINDER CIR E, SHREVEPORT, LA 71129-4017
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN158894
LA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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