Individual
JACKELINE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 7TH ST NW APT 315, WASHINGTON, DC 20001-3390
(240) 241-3810
Mailing address
1803 MOUNT PISGAH LN APT 34, SILVER SPRING, MD 20903-2144
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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