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Individual

CEERA WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1506 SHUMAN HOLLOW, LAWRENCEVILLE, GA 30043
(678) 789-6319
Mailing address
1506 SHUMAN HOLW, LAWRENCEVILLE, GA 30043-1541
(678) 789-6319

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1744P3200X
GA

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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