Individual
JACQUELYN ANDREA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 DIVISION AVE NE, WASHINGTON, DC 20019-5462
(202) 300-2206
Mailing address
611 N ST NW UNIT Y2, WASHINGTON, DC 20001-3421
(202) 300-2206
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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