Provider Demographics
NPI:1609403518
Name:NAILS, RASHANDA
Entity type:Individual
Prefix:
First Name:RASHANDA
Middle Name:
Last Name:NAILS
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 1:4818 ALABAMA AVE SE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-5021
Mailing Address - Country:US
Mailing Address - Phone:202-758-5117
Mailing Address - Fax:
Practice Address - Street 1:5037 DRAKE PLACE SE
Practice Address - Street 2:B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019
Practice Address - Country:US
Practice Address - Phone:646-420-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant