Provider Demographics
NPI:1174074959
Name:WASHINGTON, UMIKI
Entity type:Individual
Prefix:
First Name:UMIKI
Middle Name:
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:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48303-0395
Mailing Address - Country:US
Mailing Address - Phone:248-760-8337
Mailing Address - Fax:
Practice Address - Street 1:5292 ROSAMOND LN
Practice Address - Street 2:APT 7
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-3161
Practice Address - Country:US
Practice Address - Phone:248-760-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide