Provider Demographics
NPI:1689389231
Name:NLN, WASHINGTONI (CMT, NT)
Entity Type:Individual
Prefix:MS
First Name:WASHINGTONI
Middle Name:
Last Name:NLN
Suffix:
Gender:F
Credentials:CMT, NT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-1116
Mailing Address - Country:US
Mailing Address - Phone:209-689-5202
Mailing Address - Fax:
Practice Address - Street 1:412 E VINE STREET
Practice Address - Street 2:MOBILE HEALTH SERVICES
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202
Practice Address - Country:US
Practice Address - Phone:209-689-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88327225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist