Individual
MISS JASMINE SHIRELLE PETWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
834 MARJORIE CT SE, WASHINGTON, DC 20032-6016
(202) 417-4365
Mailing address
834 MARJORIE CT SE, WASHINGTON, DC 20032-6016
(202) 417-4365
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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