Individual
SHANNON WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7411 FALL CREEK BND, HUMBLE, TX 77396-3760
(832) 622-0827
Mailing address
7411 FALL CREEK BND, HUMBLE, TX 77396-3760
(832) 622-0827
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
23600122
TX
347C00000X
Private Vehicle
Primary
23600122
TX
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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