Individual
JACQUELINE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4332 GAULT PL NE, WASHINGTON, DC 20019-8007
(202) 388-9580
Mailing address
4332 GAULT PL NE, WASHINGTON, DC 20019-8007
(202) 388-9580
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10314
DC
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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