Individual
MICHELLE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 N CORLIES ST, PHILADELPHIA, PA 19132-3006
(484) 358-5828
Mailing address
2450 N CORLIES ST, PHILADELPHIA, PA 19132-3006
(484) 358-5828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN297743
PA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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