Individual provider · NPI-1

Jacqueline B Abam

Case Manager/Care Coordinator · Bowie, MD

NPI number1013602275
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1013602275
Entity type
Individual (NPI-1)
Name
Jacqueline B Abam
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2023
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4509 Holmehurst Way
Bowie, MD 20720-3455

Phone 202-375-1609

Mailing address

4509 Holmehurst Way
Bowie, MD 20720-3455

Phone 202-375-1609

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