Individual
ROLAND JETER-EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2218 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2827
(202) 717-9323
Mailing address
711 HAACK PL, LARGO, MD 20774-2164
(240) 573-6817
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/16/2023
Last updated
06/07/2023
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