Individual
MRS. VICKY ADAM JENNIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
2502 SANT JOSEPH DR, BOWIE, MD 20721
(301) 256-4505
Mailing address
2502 SAINT JOSEPHS DR, BOWIE, MD 20721-2995
(301) 256-4505
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
7902
MD
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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