Individual
SHAWNTAE MARIE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASST.
Contact information
Practice address
38633 10TH STREET EAST, 226, PALMDALE, CA 93550
(661) 450-7016
Mailing address
38633 10TH ST E APT 226, PALMDALE, CA 93550-3827
(661) 450-7016
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
10/03/2013
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