Individual
STACEY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20530 PREVOST ST APT C2, DETROIT, MI 48235-2166
(248) 808-9907
Mailing address
20530 PREVOST ST APT C2, DETROIT, MI 48235-2166
(248) 808-9907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704252455
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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