Individual
EMMANUEL ASAHA JIJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 COUSINS DR, GLENARDEN, MD 20774-2600
(240) 476-9651
Mailing address
3635 COUSINS DR, GLENARDEN, MD 20774-2600
(240) 476-9651
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001337
DC
Other
Enumeration date
11/01/2021
Last updated
11/11/2021
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