Individual
LACRETIA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 270-5000
Mailing address
6 MATHIS DR NW, ROME, GA 30165-1242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080685
GA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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