Individual
JESSICA JO DEAN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 14TH ST NW, WASHINGTON, DC 20009-4308
(202) 797-3594
Mailing address
1701 14TH ST NW, WASHINGTON, DC 20009-4308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001203923
VA
163WC0400X
Case Management Registered Nurse
Primary
RN1013356
DC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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