Individual
JESSICA MARGARET VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 C ST SE APT 21, WASHINGTON, DC 20019-2432
(202) 826-4619
Mailing address
1977 ROCHELL AVE APT 5, DISTRICT HEIGHTS, MD 20747-1472
(202) 826-4619
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000605714
DC
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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