NPI 1003451873

Petra Jua

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Washington, DC

Practice location

Address: 2205 16th St SE, Washington, DC 20020-4333
Phone: (301) 370-8049
Mailing address: 25 E Wayne Ave # M706, Silver Spring, MD 20901-4264

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1003451873
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2019
Record last updated: 15 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.

Contact

(301) 370-8049 Open in maps

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