Individual
JACQUELINE L PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 32ND ST SE, WASHINGTON, DC 20020-3322
(202) 638-9572
Mailing address
3505 RHODE ISLAND AVE, MOUNT RAINIER, MD 20712-2004
(404) 822-2163
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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