Individual
AYANNA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 GRAHAM RD STE 102, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2019013724
MO
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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