Provider Demographics
NPI:1861067753
Name:DRAME, FATU IESHA (MPH)
Entity type:Individual
Prefix:
First Name:FATU
Middle Name:IESHA
Last Name:DRAME
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 13TH ST NW APT 110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1428
Mailing Address - Country:US
Mailing Address - Phone:202-725-3171
Mailing Address - Fax:
Practice Address - Street 1:1249 HOWISON PL SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4131
Practice Address - Country:US
Practice Address - Phone:202-413-4716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant