Individual
BERETHA JO WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(205) 933-8101
Mailing address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(205) 899-5712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-103270
AL
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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