Provider Demographics
NPI:1063232882
Name:WASHINGTON, ANGE MARIA
Entity type:Individual
Prefix:MISS
First Name:ANGE
Middle Name:MARIA
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11531 WORLD WOODS CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-1090
Mailing Address - Country:US
Mailing Address - Phone:407-461-8988
Mailing Address - Fax:
Practice Address - Street 1:11531 WORLD WOODS CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-1090
Practice Address - Country:US
Practice Address - Phone:407-461-8988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services