Individual
EVA JONATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 PRINCES CHOICE DR, BOWIE, MD 20720-3399
(301) 683-4682
Mailing address
12610 PRINCES CHOICE DR, BOWIE, MD 20720-3399
(301) 683-4682
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003241
DC
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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