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Individual

JERMAINE ANTONIO SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3035 MASS AVE SE APT 100, WASHINGTON, DC 20019-1154
(202) 658-1716
Mailing address
4737 JOHN ST, SUITLAND, MD 20746-3775
(202) 658-1716

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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