Individual
MRS. SHIRLENE YVETTE WASHINGTON-MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN II
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
45689
SC
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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