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Individual

JENDAYI HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
411 E TANTALLON DR, FORT WASHINGTON, MD 20744-6124
(202) 735-7664
Mailing address
411 E TANTALLON DR, FORT WASHINGTON, MD 20744-6124
(202) 735-7664

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25715
MD

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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