Individual
JEROME TAKUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3831 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-1309
(202) 853-4879
Mailing address
1206 WHITE MILLS RD, CATONSVILLE, MD 21228-2657
(301) 996-8727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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