Individual
JENISE VIOLA JABBANAY TONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 MICHIGAN AVE NE, WASHINGTON, DC 20017-1030
(202) 415-9836
Mailing address
3905 BLAINE ST NE, WASHINGTON, DC 20019-3334
(202) 867-4566
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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