Provider Demographics
NPI:1942958848
Name:TRAYNHAM, INDIA LESHAY
Entity Type:Individual
Prefix:
First Name:INDIA
Middle Name:LESHAY
Last Name:TRAYNHAM
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 1:808 MAURY AVE
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2857
Mailing Address - Country:US
Mailing Address - Phone:703-867-2157
Mailing Address - Fax:
Practice Address - Street 1:4001 S CAPITOL ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1366
Practice Address - Country:US
Practice Address - Phone:202-699-4166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion