Provider Demographics
NPI:1194359901
Name:WASHINGTON, PAULA YVONNE
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:YVONNE
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 1:169 JOLIET ST SW APT 103
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1811
Mailing Address - Country:US
Mailing Address - Phone:240-350-6788
Mailing Address - Fax:
Practice Address - Street 1:169 JOLIET ST SW APT 103
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1811
Practice Address - Country:US
Practice Address - Phone:240-350-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant