Individual
JONATHAN WENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 NORTH MARKET ST, FREDERICA, DE 19946
(302) 841-8272
Mailing address
PO BOX 853, FREDERICA, DE 19946-0853
(302) 841-8272
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
DE0000006735
DE
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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