Individual
JEREMIAH I SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
200 WILMINGTON PL SE APT A, WASHINGTON, DC 20032-2426
(202) 696-5732
Mailing address
200 WILMINGTON PL SE APT A, WASHINGTON, DC 20032-2426
(202) 696-5732
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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