Individual
ELENA JAKIMAVICIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18041 COTTAGE GARDEN DR APT 203, GERMANTOWN, MD 20874-5816
(410) 814-9803
Mailing address
18041 COTTAGE GARDEN DR APT 203, GERMANTOWN, MD 20874-5816
(410) 814-9803
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024757000
MEDICAID PROVIDER NUMBER
MD
01
—
5024757000
NPI ON DHMH
MD
Enumeration date
12/28/2011
Last updated
12/28/2011
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