Individual
VERNITA MONICA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1974 TALMADGE RD, ALLENHURST, GA 31301-3201
(912) 604-6933
(912) 877-1111
Mailing address
1974 TALMADGE RD, ALLENHURST, GA 31301-3201
(912) 604-6933
(912) 877-1111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN062821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004336
—
GA
Enumeration date
07/17/2020
Last updated
07/17/2020
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