Individual
JACQUELINE FREDUA BADDOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SOUTHEMPTON DR, SILVER SPRING, MD 20903
(240) 845-4223
Mailing address
548 SOUTHEMPTON DR, SILVER SPRING, MD 20903
(240) 845-4223
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00195274
—
MD
Enumeration date
07/30/2021
Last updated
01/13/2023
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