Individual provider · Type 1 NPI

Jacquline Lorrine Petway

Home Health Aide · Washington, DC

NPI number 1962754903 Active

About NPI 1962754903

Jacquline Lorrine Petway's National Provider Identifier is 1962754903, issued on Oct 15, 2012. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Washington, DC. The record was last updated on Oct 15, 2012.