Individual
JEAN F NIKIEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8804 MANCHESTER RD APT 2, SILVER SPRING, MD 20901-4130
(240) 938-8740
Mailing address
8804 MANCHESTER RD APT 2, SILVER SPRING, MD 20901-4130
(240) 938-8740
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1677
DC
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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