Provider Demographics
NPI:1972342210
Name:WASHINGTON, DESHAUNNA LASHAY
Entity type:Individual
Prefix:
First Name:DESHAUNNA
Middle Name:LASHAY
Last Name:WASHINGTON
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 1:7837 S CORNELL AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-6869
Mailing Address - Country:US
Mailing Address - Phone:773-322-5809
Mailing Address - Fax:
Practice Address - Street 1:7837 S CORNELL AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-6869
Practice Address - Country:US
Practice Address - Phone:773-322-5809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula