Individual
LATRECE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BLUFF RD, COLUMBIA, SC 29201-4809
(800) 805-6989
Mailing address
200 BERRYHILL RD APT 714, COLUMBIA, SC 29210-6423
(863) 832-7078
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/22/2022
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