Individual
KIYOSHI WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4911 DESIRE DR, NEW ORLEANS, LA 70126-3535
(504) 952-2199
Mailing address
4911 DESIRE DR, NEW ORLEANS, LA 70126-3535
(504) 952-2199
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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