Individual
MS. SHANIQUE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2247 DELLROSE DR APT A, HOPEWELL, VA 23860-7205
(434) 710-8434
Mailing address
2247 DELLROSE DR APT A, HOPEWELL, VA 23860-7205
(434) 710-8434
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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