Individual
JESSICA R WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5147 N 68TH ST, MILWAUKEE, WI 53218-3909
(414) 722-7545
Mailing address
5147 N 68TH ST, MILWAUKEE, WI 53218-3909
(414) 722-7545
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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