Individual
MARVIN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6631 GODWIN DR, SPOTSYLVANIA, VA 22553-7622
(540) 850-5462
Mailing address
6631 GODWIN DR, SPOTSYLVANIA, VA 22553-7622
(540) 850-5462
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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