Individual
HARVEY L WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29746 SOUTHFIELD RD, SOUTHFIELD, MI 48076-2088
(313) 466-0722
Mailing address
15831 LITTLEFIELD ST, DETROIT, MI 48227-3621
(313) 899-9182
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
2701164650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2701164650
COSMETOLOGIST (CRANIAL PROSTHETICS )
MI
Enumeration date
10/11/2022
Last updated
10/11/2022
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