Maya Simone Washington, STUDENT

NPI #1053158410 in Chesterfield, Missouri

Provider Information

NPI Number: 1053158410
Entity Type: Individual
Name: Maya Simone Washington, STUDENT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 528 WINDY HILL ACRES LN
City: Chesterfield
State: Missouri
ZIP Code: 63017-5900
Phone: (314) 681-7424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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