AJA JACKSON DEVOSE

PHILADELPHIA, PA
NPI1174863054
Former NameAJA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OTO14993)
Enumeration Date2013-02-28
Last Update Date2025-04-28
Business Address
AJA JACKSON DEVOSE D.O.
220 W CHELTEN AVE
PHILADELPHIA, PA 19144-3803
Phone number: 215-310-7022
Mailing Address
AJA JACKSON DEVOSE D.O.
PO BOX 746722
ATLANTA, GA 30374-6722
Phone number: 312-733-9730