Individual
JUMOKA ANITA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N ST SW APT 409, WASHINGTON, DC 20024-3523
(202) 262-8212
Mailing address
913 BROOKE RD, CAPITOL HEIGHTS, MD 20743-3010
(202) 424-8978
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11374646220
—
MD
Enumeration date
02/11/2019
Last updated
02/11/2019
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