Individual
JAYLAND FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 WASHINGTON PL NE, WASHINGTON, DC 20018-1053
(202) 469-2985
Mailing address
2300 WASHINGTON PL NE, WASHINGTON, DC 20018-1053
(202) 469-2985
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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