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Individual

CHRISTINE WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
822 CORRAL DR, CHARLESTON, SC 29414-5117
(843) 730-2436
Mailing address
822 CORRAL DR, CHARLESTON, SC 29414-5117
(843) 730-2436

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12219879
SC
Enumeration date
02/28/2020
Last updated
02/28/2020
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