Individual
KEMEKEA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
39 MCOWEN ST, DAYTON, OH 45405-4225
(614) 678-2795
Mailing address
4825 COULSON DR, DAYTON, OH 45417-5957
(614) 678-2795
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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