Individual
JACOB BURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5201 TROTTERS GLEN DR, UPPER MARLBORO, MD 20772-2913
(240) 676-3021
Mailing address
5201 TROTTERS GLEN DR, UPPER MARLBORO, MD 20772-2913
(240) 676-3021
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272776330
—
DC
Enumeration date
09/15/2020
Last updated
09/15/2020
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