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NPI Code Detail

MEDICARE: VICTORIA J WASHINGTON MA

MEDICARE: VICTORIA J WASHINGTON MA
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
1374U00000XHome Health AideMO
2101YP2500XProfessional Counselor2025030631MO

General Provider Information

NPI Number : 1942826730
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA J WASHINGTON MA
Provider Business Mailing Address
First Line : 4625 LINDELL BOULEVARD
Second Line : SUITE 200 PMB 9352
City : SAINT LOUIS
State : MO
Zip : 63108
Country : US
Telephone Number : 314-226-2770
Fax Number :
Provider Business Practice Location Address
First Line : 4218 E MAFFITT AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-2935
Country : US
Telephone Number : 131-422-6277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 12/11/2025

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Directions to “ VICTORIA J WASHINGTON MA” Practice Location

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