Devron Washington
Student in an Organized Health Care Education/Training Program in Springfield, MA. Individual provider (NPI-1).
NPI number1194357772
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1194357772
- Entity type
- Individual (NPI-1)
- Name
- Devron Washington
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2020
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
95 Frank B Murray StSpringfield, MA 01103-1106
Phone 413-285-8586
Mailing address
95 Frank B Murray StSpringfield, MA 01103-1106
Phone 413-285-8586
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