Individual provider · NPI-1

Martina Jefferson

Home Health Aide · Oxon Hill, MD

NPI number1811239668
StatusActive
Last updated in NPPESMar 20, 2013

Details

NPI
1811239668
Entity type
Individual (NPI-1)
Name
Martina Jefferson
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2013
Last updated
Mar 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1303 Iverson Street
#101
Oxon Hill, MD 20745

Phone 301-880-6227

Mailing address

1303 Iverson Street
#101
Oxon Hill, MD 20745

Phone 301-880-6227

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