| NPI | 1225694912 |
|---|---|
| Other Name | JACQUELINE M WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MO 83-4650541) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |