Individual
JEANNE CHANTAL DEUSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 CHILLUM RD APT 3, HYATTSVILLE, MD 20782-2444
(240) 614-8807
Mailing address
1516 CHILLUM RD APT 3, HYATTSVILLE, MD 20782-2444
(240) 614-8807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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