Individual
JENNY JESMER CASTRO REXACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2601
(954) 790-5556
Mailing address
821 OTIS PL NW, WASHINGTON, DC 20010-1515
(202) 491-0742
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN1027432
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25009286
25009286
DC
Enumeration date
01/07/2020
Last updated
01/07/2020
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