Individual
JACK ASHU AYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12009 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2866
(301) 326-9479
Mailing address
12009 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2866
(301) 326-9479
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HAA14432
DC
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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