Individual
JACQUELLE WHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 25TH ST SE APT 409, WASHINGTON, DC 20020-3252
(202) 271-6970
Mailing address
2501 25TH ST SE APT 409, WASHINGTON, DC 20020-3252
(202) 271-6970
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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