Individual
JACKLINE BOSUNG NJAFUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 24TH ST NE, WASHINGTON, DC 20018-2126
(202) 832-8340
(202) 832-8341
Mailing address
9102 HUNTINGTON CT APT 203, LAUREL, MD 20708-1002
(240) 583-9062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11102
DC
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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