Individual
JACEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 JAY ST NE APT 5, WASHINGTON, DC 20019-1844
(202) 840-3862
Mailing address
1414 SARATOGA AVE NE APT 3, WASHINGTON, DC 20018-1919
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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