Individual
JACOB CHICK NANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2749 W NORTH AVE, BALTIMORE, MD 21216-3140
(301) 728-9987
Mailing address
14505 JAYSTONE DR, SILVER SPRING, MD 20905-7403
(301) 728-9987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R181023
MD
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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