Individual
JACQUELINE SHIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 LEE AVE APT 35, TAKOMA PARK, MD 20912-4911
(240) 481-9457
Mailing address
117 LEE AVE APT 35, TAKOMA PARK, MD 20912-4911
(240) 481-9457
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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