Provider Demographics
NPI:1134867047
Name:DUNSTON, DYSCHON K
Entity type:Individual
Prefix:MS
First Name:DYSCHON
Middle Name:K
Last Name:DUNSTON
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 1:3502 COMMODORE JOSHUA BARNEY DR NE APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4405
Mailing Address - Country:US
Mailing Address - Phone:240-355-1771
Mailing Address - Fax:
Practice Address - Street 1:4432 G ST SE APT 32
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5041
Practice Address - Country:US
Practice Address - Phone:202-460-4732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC31585773747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant