MEDICARE: RASHAWYNA WARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1750789905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHAWYNA WARE

Provider Business Mailing Address
First Line	:	1856 VILLAGE RIDGE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-5528
Country	:	US
Telephone Number	:	614-607-1713
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 VILLAGE RIDGE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-5528
Country	:	US
Telephone Number	:	614-607-1713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	12/19/2014

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Directions to “ RASHAWYNA WARE ” Practice Location

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