Individual
ANTIONETTE DOMINIQUE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6020
Mailing address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122
(601) 540-3882
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
04/14/2025
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