Individual
JACQUELINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 GREENWOOD AVE, CAMBRIDGE, MD 21613-1407
(443) 848-3257
Mailing address
2915 WINCHESTER ST, BALTIMORE, MD 21216-4243
(443) 848-3257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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