Provider Demographics
NPI:1760859599
Name:WASHINGTON, MONETRESS LASHAY
Entity Type:Individual
Prefix:MRS
First Name:MONETRESS
Middle Name:LASHAY
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONETRESS
Other - Middle Name:WASHINGTON
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13517 WINDING TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5830
Mailing Address - Country:US
Mailing Address - Phone:240-997-2683
Mailing Address - Fax:
Practice Address - Street 1:13517 WINDING TRAIL CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5830
Practice Address - Country:US
Practice Address - Phone:240-997-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT00344224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD102715859Medicaid