Individual
HONORATA LAGMAN DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 KENNEDY ST NW APT 35, WASHINGTON, DC 20011-3002
(202) 717-0228
Mailing address
604 KENNEDY ST NW APT 35, WASHINGTON, DC 20011-3002
(202) 717-0228
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12815
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2595894
DC STATE ID
DC
Enumeration date
04/26/2019
Last updated
06/03/2019
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