Most Relevant Information
Provider Data
| NPI Number: | 1003481896 |
| Provider Name: | JOSEPHINE DIANE NEUTCHAP |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 05/24/2021 |
Provider Practice Location
1220 12TH ST SE STE 350
WASHINGTON
DC
200033727
Practice Location Phone/Fax
| Phone: | 2028466830 |
| Fax: |
Provider Mailing Location
12817 VILLAGE SQUARE RD
UPPER MARLBORO
MD
207725158
Provider Mailing Phone/Fax
| Phone: | 7177977660 |
| Fax: |