Individual
CLINISHA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 CAMERON DR APT 4, MADISON, WI 53711-3369
(312) 806-1826
Mailing address
1906 CAMERON DR APT 4, MADISON, WI 53711-3369
(312) 806-1826
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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