Provider Demographics
NPI:1568168516
Name:DOWDLE, TOMEKA MONIQUE
Entity Type:Individual
Prefix:
First Name:TOMEKA
Middle Name:MONIQUE
Last Name:DOWDLE
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 1:4046 GRANT ST NE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-3547
Mailing Address - Country:US
Mailing Address - Phone:202-945-3563
Mailing Address - Fax:
Practice Address - Street 1:900 5TH ST SE APT 122
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4502
Practice Address - Country:US
Practice Address - Phone:202-506-7949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant