Provider Demographics
NPI:1295429165
Name:MOSELEY, RASHAE
Entity type:Individual
Prefix:
First Name:RASHAE
Middle Name:
Last Name:MOSELEY
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 1:420 TAYLOR ST NE APT 13C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1542
Mailing Address - Country:US
Mailing Address - Phone:202-285-6560
Mailing Address - Fax:
Practice Address - Street 1:3400 BANNEKER DR NE APT 415
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4112
Practice Address - Country:US
Practice Address - Phone:202-743-8753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant