Individual
MR. WAYNE ANTHONY WASHINGTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 MORGAN AVE N, MINNEAPOLIS, MN 55414
(612) 200-6233
Mailing address
1524 MORGAN AVE N, MINNEAPOLIS, MN 55411-3014
(612) 200-6233
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
MN
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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