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Individual

MAGGIE J WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3848 SUN CITY CENTER BLVD STE 104-1097, RUSKIN, FL 33573-6068
(813) 212-7255
Mailing address
14710 SCOTTBURGH GLEN DR, WIMAUMA, FL 33598-6206
(813) 212-7255

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5170661
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
07/01/2019
Last updated
03/03/2026
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