Individual
JEANNETTE EPSE BOLUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6735 NEW HAMPSHIRE AVE, APT 613, TAKOMA PARK, MD 20912-4865
(240) 505-6246
Mailing address
8860 PINEY BRANCH RD, APT 1608, SILVER SPRING, MD 20903-4865
(240) 505-6246
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12205
DC
Other
Enumeration date
07/20/2016
Last updated
02/23/2018
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