Individual
STEPHANIE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
5060 DROCHESTER RD, NORTH CHARLESTON, SC 29418
(843) 225-9053
Mailing address
5060 DORCHESTER RD, NORTH CHARLESTON, SC 29418-5603
(843) 225-9053
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
68468
SC
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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