Provider Demographics
NPI:1316812068
Name:WASHINGTON, TATIAUNA (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:TATIAUNA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12530 FAIRWOOD PKWY STE 102-1148
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6356
Mailing Address - Country:US
Mailing Address - Phone:301-541-3373
Mailing Address - Fax:301-979-9604
Practice Address - Street 1:12530 FAIRWOOD PKWY STE 102-1148
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6356
Practice Address - Country:US
Practice Address - Phone:301-541-3373
Practice Address - Fax:301-979-9604
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty