Henrietta N/a Washington
NPI #1235778820 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1235778820
- Entity Type
- Individual
- Name
- Henrietta N/a Washington
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Dec 30, 2019
- Last Updated
- Dec 30, 2019
Practice Location
- Address
- 1430 OLIVE ST STE 400
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63103-2303
- Phone
- (314) 206-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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