Search › California › 171M00000X

Reginald Washington

NPI 1821553850 · on the registry since 2019 · sole proprietor

Practice

Address
7931 Broadway
Lemon Grove, CA 91945
Phone
(760) 828-7002
Organisation at this address
Pa Enterprises, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
172V00000X
174H00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California