Individual
JACQUELINE YANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6116 84TH AVE, NEW CARROLLTON, MD 20784-3412
(240) 898-6641
Mailing address
6116 84TH AVE, NEW CARROLLTON, MD 20784-3412
(240) 898-6641
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/06/2012
Last updated
10/30/2023
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