Individual
VERONICA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 FOSTER AVE, ELYRIA, OH 44035-3520
(225) 247-9198
Mailing address
PO BOX 698, ELYRIA, OH 44036-0698
(225) 247-9198
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
4703119
OH
376J00000X
Homemaker
4703119
OH
376K00000X
Nurse's Aide
Primary
401193540111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060272
ODJFS MEDICAID PROVIDER NUMBER
OH
Enumeration date
01/16/2013
Last updated
01/16/2013
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