Charles David Washington Jr,

NPI #1336790443 in Glenwood, West Virginia

Provider Information

NPI Number: 1336790443
Entity Type: Individual
Name: Charles David Washington Jr,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Attendant Care Provider
Enumeration Date: Sep 20, 2019
Last Updated: Sep 20, 2019

Practice Location

Address: 1592 GALLIA ROAD
City: Glenwood
State: West Virginia
ZIP Code: 25520-1145
Phone: (304) 429-6741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X	Primary

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