Individual
MBA JACKIBILLE ENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9643 MUIRKIRK RD, LAUREL, MD 20708-2601
(240) 467-8495
Mailing address
9643 MUIRKIRK RD, LAUREL, MD 20708-2601
(240) 467-8495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/28/2022
Last updated
06/14/2023
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