Individual
JACQUELINE NICOLE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 RIDGECREST CT SE APT 101, WASHINGTON, DC 20020-6223
(202) 487-3994
Mailing address
1920 NAYLOR RD SE APT 108, WASHINGTON, DC 20020-6841
(202) 597-6056
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070041583
—
DC
Enumeration date
02/22/2019
Last updated
02/22/2019
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