Provider Demographics
NPI:1477018190
Name:WINSLOW, RAKAYLA MYONNA
Entity Type:Individual
Prefix:
First Name:RAKAYLA
Middle Name:MYONNA
Last Name:WINSLOW
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 1:2686 SHERIDAN RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5285
Mailing Address - Country:US
Mailing Address - Phone:202-705-1818
Mailing Address - Fax:
Practice Address - Street 1:2686 SHERIDAN RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5285
Practice Address - Country:US
Practice Address - Phone:202-705-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide