Individual
JESMANE ANTENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 MOFFET RD, SILVER SPRING, MD 20903-1936
(240) 643-7477
Mailing address
1613 MOFFET RD, SILVER SPRING, MD 20903-1936
(240) 643-7477
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W21830419
MD
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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