Individual
MR. JEANNIE S WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 SCOTT CIRCLE, 15TH MEDICAL GROUP, HICKAM AFB, HI 96853-5399
(808) 449-0175
Mailing address
755 SCOTT CIRCLE, 15TH MEDICAL GROUP, HICKAM AFB, HI 96853-5399
(808) 449-0175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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