Individual
JOLLY EGBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 BLADENSBURG RD NE APT N0301, WASHINGTON, DC 20018-2235
(240) 370-4891
Mailing address
2853 BRENTWOOD RD NE, WASHINGTON, DC 20018-2609
(240) 370-4891
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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