| Doctor Name: | RAYMOND JONKAM |
| NPI Number: | 1689048266 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | HHA11654 |
| Business Practice Address: | 46860 Hilton Dr Apt 1131 Lexington Park, MD - 206533730 |
| Business Phone Number: | 7573872677 |
| Business Fax Number: | |
| Mailing Address: | 46860 Hilton Dr Apt 1131, LEXINGTON PARK |
| State: | MD |
| Postal Code: | 206533730 |
| Phone Number: | 7573872677 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | HHA11654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |