Individual
JACQUISE C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 14TH ST NW APT 303, WASHINGTON, DC 20009-4946
(202) 948-8808
Mailing address
1712 JANUARY DR APT 204, SILVER SPRING, MD 20904-6972
(202) 948-8808
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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