Provider Demographics
NPI:1346804606
Name:WEATHERS, JAIME OSHONIA
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:OSHONIA
Last Name:WEATHERS
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 1:431 54TH ST SE APT B4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6573
Mailing Address - Country:US
Mailing Address - Phone:202-878-0783
Mailing Address - Fax:
Practice Address - Street 1:431 54TH ST SE APT B4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6573
Practice Address - Country:US
Practice Address - Phone:202-878-0783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide