Individual
JESUS VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 FALLSTON AVE, BELTSVILLE, MD 20705-3403
(202) 832-8340
Mailing address
3103 FALLSTON AVE, BELTSVILLE, MD 20705-3403
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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