Most Relevant Information
Provider Data
| NPI Number: | 1003489188 |
| Provider Name: | LATISHA LALA WASHINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2021 |
| Last Updated: | 07/19/2021 |
Provider Practice Location
107 N SUNRISE AVE
DAYTON
OH
454262860
Practice Location Phone/Fax
| Phone: | 9376093309 |
| Fax: |
Provider Mailing Location
107 N SUNRISE AVE
DAYTON
OH
454262860
Provider Mailing Phone/Fax
| Phone: | 9376093309 |
| Fax: |