Individual
JACQUES LEDUC EDIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9706 ROOSTER LN, FORT WASHINGTON, MD 20744-5731
(202) 460-3036
Mailing address
9706 ROOSTER LN, FORT WASHINGTON, MD 20744-5731
(202) 460-3036
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA6183
DC
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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