Individual
GENEVA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 ROLFE SQ, CRANSTON, RI 02910-3412
(401) 941-9707
(401) 785-2517
Mailing address
83 ROLFE SQ, CRANSTON, RI 02910-3412
(401) 941-9707
(401) 785-2517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
09/22/2010
Last updated
09/22/2010
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