Provider Demographics
NPI:1497330419
Name:RHAMES, TYESHIA
Entity Type:Individual
Prefix:MS
First Name:TYESHIA
Middle Name:
Last Name:RHAMES
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 1:2334 WHITE OWL WAY
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-1064
Mailing Address - Country:US
Mailing Address - Phone:202-423-0262
Mailing Address - Fax:
Practice Address - Street 1:2501 25TH ST SE APT 417
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3253
Practice Address - Country:US
Practice Address - Phone:202-889-1894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant