Petra Jua
NPI #1003451873 in Washington, District of Columbia
Provider Information
- NPI Number
- 1003451873
- Entity Type
- Individual
- Name
- Petra Jua
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 15, 2019
- Last Updated
- Nov 15, 2019
Practice Location
- Address
- 2205 16TH ST SE
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20020-4333
- Phone
- (301) 370-8049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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