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Organization

J HEALTHCARE SERVICES AND CONSULTATION

Active
Other names
Wound team of greater Washington
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH E KISANGA NP (CHAIRMAN)
(301) 717-2972
Entity
Organization

Contact information

Practice address
4234 LAVENDER LN, BOWIE, MD 20720-4291
(301) 717-2972
Mailing address
4234 LAVENDER LN, BOWIE, MD 20720-4291
(301) 717-2972

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1011679
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104255744
NPI FOR J HEALTHCARE SERVICES AND CONSULTATION
MD
Enumeration date
11/04/2013
Last updated
12/16/2013
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