Individual
AMIE JATTU JOHNNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 NEW TORK AVE STE 117, WASHINGTON DC, MD 20002
(202) 269-4181
Mailing address
3223 TOLEDO PL, HYATTSVILLE, MD 20782-4132
(240) 490-0940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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