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NPI Code Detail

MEDICARE: ARIEL WASHINGTON

MEDICARE:   ARIEL  WASHINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101Y00000XCounselor

General Provider Information

NPI Number : 1871094060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL WASHINGTON
Provider Business Mailing Address
First Line : 403 W ORANGE AVE
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-4443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 403 W ORANGE AVE
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-4443
Country : US
Telephone Number : 510-509-8753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 03/13/2018

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Directions to “ ARIEL WASHINGTON ” Practice Location

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