Individual
MELISSA DEVONNE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
639 YORK ST RM 212, QUINCY, IL 62301-3919
(217) 222-6277
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021029206
MO
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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