Individual
JACQUELINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5212 C ST SE, WASHINGTON, DC 20019-6311
(202) 583-5708
Mailing address
1315 S ST SE, WASHINGTON, DC 20020-6925
(202) 304-6394
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70490592
—
DC
Enumeration date
07/21/2017
Last updated
07/21/2017
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