Most Relevant Information
Provider Data
| NPI Number: | 1003542440 |
| Provider Name: | MAYA JENAI WASHINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | BL024377-0402021 |
Most Important Dates
| Enumeration Date: | 07/27/2022 |
| Last Updated: | 07/27/2022 |
Provider Practice Location
5 CROMWELL ALY APT A
CHARLESTON
SC
294011974
Practice Location Phone/Fax
| Phone: | 8439903274 |
| Fax: |
Provider Mailing Location
5 CROMWELL ALY APT A
CHARLESTON
SC
294011974
Provider Mailing Phone/Fax
| Phone: | 8439903274 |
| Fax: |