AJA JACKSON DEVOSE

WYNCOTE, PA
NPI1174863054
Former NameAJA JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OTO14993)
Enumeration Date2013-02-28
Last Update Date2022-08-25
Business Address
AJA JACKSON DEVOSE D.O.
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095-2946
Phone number: 215-444-7471
Mailing Address
AJA JACKSON DEVOSE D.O.
PO BOX 746722
ATLANTA, GA 30374-6722
Phone number: 312-733-9730