Provider Demographics
NPI:1386409456
Name:WASHINGTON, DAREYA EMEN
Entity type:Individual
Prefix:
First Name:DAREYA
Middle Name:EMEN
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 1:9633 DARLEY WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-4031
Mailing Address - Country:US
Mailing Address - Phone:916-559-5501
Mailing Address - Fax:
Practice Address - Street 1:9633 DARLEY WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-4031
Practice Address - Country:US
Practice Address - Phone:916-559-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula