Individual
MRS. JALEESA MOROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E DIAMOND AVE, GAITHERSBURG, MD 20877-5321
(301) 330-4359
Mailing address
610 E DIAMOND AVE, GAITHERSBURG, MD 20877-5321
(301) 330-4359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4816
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
10/21/2016
Last updated
11/01/2016
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