WAYNE WASHINGTON

VALDOSTA, GA
NPI1508105875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225000000X Orthotic Fitter
(Licence: GA  CO040287)
Enumeration Date2013-02-06
Last Update Date2013-02-06
Business Address
Mr. WAYNE WASHINGTON
422 E PARK AVE
VALDOSTA, GA 31602-3036
Phone number: 229-247-5374
Mailing Address
Mr. WAYNE WASHINGTON
422 E PARK AVE
VALDOSTA, GA 31602-3036
Phone number: 229-247-5374