Individual
JOHNNY JIMLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 MLK JR AVENUE, SE WASHINGTON, DC 20020
(202) 547-8450
Mailing address
6428 LANDING WAY, HYATTSVILLE, MD 20784-4619
(667) 383-5051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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