Individual
JACQUELINE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 N ST NW UNIT 308, WASHINGTON, DC 20005-3601
(202) 848-5842
Mailing address
1333 N ST NW UNIT 308, WASHINGTON, DC 20005-3601
(202) 848-5842
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
—
DC
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
DC
Enumeration date
09/13/2021
Last updated
09/13/2021
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