Provider Demographics
NPI:1992466387
Name:WASHINGTON, DASHANTA ANGELICA
Entity type:Individual
Prefix:
First Name:DASHANTA
Middle Name:ANGELICA
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DASHANTA
Other - Middle Name:A
Other - Last Name:TAYLOR-SAMUEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8303 LAURA LN
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-2579
Mailing Address - Country:US
Mailing Address - Phone:301-318-9079
Mailing Address - Fax:
Practice Address - Street 1:4638 H ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4981
Practice Address - Country:US
Practice Address - Phone:202-506-4459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant