Individual
COTY WASHINGTON-ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
900 W BELGRAVIA AVE, FRESNO, CA 93706-3909
(559) 265-2000
Mailing address
377 W WARNER AVE APT 101, FRESNO, CA 93704-1262
(760) 577-8730
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E147743
CA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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