NPI 1104669050

Diva Marie Washington

Practitioner Driver Grand Prairie, TX

Practice location

Address: 2333 February Ln, Grand Prairie, TX 75050-3023
Phone: (469) 494-8433

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1104669050
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.