Individual
JACQUELINE SUZETTE CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
7223 E LOMBARD ST, LANDOVER, MD 20785-2126
(301) 322-5314
Mailing address
7223 E LOMBARD ST, LANDOVER, MD 20785-2126
(240) 300-2208
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
HHA11483
DC
Other
Enumeration date
08/18/2015
Last updated
02/26/2025
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