Individual
JACOB SAMJEA TITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
1041 QUEBEC TER APT 4, SILVER SPRING, MD 20903-3100
(202) 545-0935
Mailing address
1041 QUEBEC TER APT 4, SILVER SPRING, MD 20903-3100
(202) 545-0935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/22/2012
Last updated
06/13/2023
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