Individual
JENIFFER ANE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 MCKELVEY RD, BRIDGETON, MO 63044-2579
(314) 629-2018
Mailing address
3430 MCKELVEY RD, BRIDGETON, MO 63044-2579
(314) 629-2018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1798656
MO
Other
Enumeration date
07/28/2023
Last updated
08/04/2023
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