Individual
MS. TASHARA YONTAE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1833 HALSTEAD BLVD, TALLAHASSEE, FL 32309-3460
(850) 224-2469
Mailing address
1833 HALSTEAD BLVD, TALLAHASSEE, FL 32309-3460
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5204607
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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