Most Relevant Information
Provider Data
| NPI Number: | 1003588138 |
| Provider Name: | TYTESHA WASHINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2021 |
| Last Updated: | 09/28/2021 |
Provider Practice Location
26 46TH ST NE
WASHINGTON
DC
200194635
Practice Location Phone/Fax
| Phone: | 5409400731 |
| Fax: |
Provider Mailing Location
5538 HUNT PL NE
WASHINGTON
DC
200197021
Provider Mailing Phone/Fax
| Phone: | 2029569936 |
| Fax: |