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Individual

PATRICIA WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
19203 KEWANEE AVE APT UP, CLEVELAND, OH 44119-2748
(216) 450-8334
Mailing address
19203 KEWANEE AVE APT UP, CLEVELAND, OH 44119-2748
(216) 450-8334

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
400987081009
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3140792
OH
Enumeration date
05/14/2014
Last updated
05/14/2014
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