Provider Demographics
NPI:1144872656
Name:MOSES, MONIQUE RASHON
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:RASHON
Last Name:MOSES
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 1:802 S FLORIDA ST APT 4
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-2543
Mailing Address - Country:US
Mailing Address - Phone:202-840-1982
Mailing Address - Fax:
Practice Address - Street 1:5724 3RD PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2105
Practice Address - Country:US
Practice Address - Phone:202-829-8130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty