Individual
AUGUSTINE JAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
6731 NEW HAMPSHIRE AVENUE, APT 1206, TAKOMA PARK, MD 20912-2816
(240) 713-7137
Mailing address
6731 NEW HAMPSHIRE AVE APT 1206, TAKOMA PARK, MD 20912-2816
(240) 713-7137
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12961
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12961
HOME HEALTH AIDE
DC
Enumeration date
08/15/2017
Last updated
07/21/2022
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