Individual
JACKELINE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6992 HANOVER PKWY APT 100, GREENBELT, MD 20770-2242
(301) 437-8366
Mailing address
6992 HANOVER PKWY APT 100, GREENBELT, MD 20770-2242
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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