Individual
JACQUELINE ITEGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
4259 58TH AVE APT 4, BLADENSBURG, MD 20710-1925
(562) 787-4225
Mailing address
4259 58TH AVE APT 4, BLADENSBURG, MD 20710-1925
(562) 787-4225
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10519
DC
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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