Jerry Tywone Thomas Sr.
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1548059249
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1548059249
- Entity type
- Individual (NPI-1)
- Name
- Jerry Tywone Thomas Sr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | MD | Yes |
Practice location
1717 E Capitol St Se Apt 241Washington, DC 20003-1787
Phone 202-718-2298
Mailing address
235 Harry S Truman Dr Apt 13Upper Marlboro, MD 20774-2033
Phone 202-718-2298
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