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Individual

MS. BETTY V WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
105 WILLOW OAK DR, PRATTVILLE, AL 36067-2310
(334) 538-2062
(334) 262-1628
Mailing address
105 WILLOW OAK DR, PRATTVILLE, AL 36067-2310
(334) 538-2062
(334) 262-1628

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2-057851
AL

Other

Enumeration date
12/06/2009
Last updated
12/06/2009
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