DAINTY J JACKSON

WALDORF, MD
NPI1194765834
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  H0058218)
Enumeration Date2006-06-08
Last Update Date2019-02-08
Business Address
DAINTY J JACKSON D. O.
11315 PEMBROOKE SQ STE 112
WALDORF, MD 20603-4806
Phone number: 301-885-3350
Mailing Address
DAINTY J JACKSON D. O.
PO BOX 7876
UPPER MARLBORO, MD 20792-7876
Phone number: 301-254-8177
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