Individual
JOMESA DE'LICE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 HICKORY RIDGE RD APT B, COLUMBIA, MD 21044-4631
(443) 518-0096
Mailing address
10411 HICKORY RIDGE RD APT B, COLUMBIA, MD 21044-4631
(410) 689-5876
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
MT0016411
MD
374U00000X
Home Health Aide
Primary
RSA-02344
MD
Other
Enumeration date
12/30/2018
Last updated
07/25/2024
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