Healthcare Provider Details

I. General information

NPI: 1730066713
Provider Name (Legal Business Name): DASHAWNA PAULETTE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5509 HAYES ST
NORTHEAST DC
20020
US

IV. Provider business mailing address

13040 OLD STAGE COACH RD APT 122
LAUREL MD
20708-1613
US

V. Phone/Fax

Practice location:
  • Phone: 227-264-9619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: