Individual
JAY PIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 STANWICH TER UPPR MARLBORO, UPPER MARLBORO, MD 20774-8844
(202) 790-4266
Mailing address
509 STANWICH TER UPPR MARLBORO, UPPER MARLBORO, MD 20774-8844
(202) 790-4266
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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