BECKY A JACKS

WALDORF, MD
NPI1245911767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R232693)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
BECKY A JACKS
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 301-357-4199
Mailing Address
BECKY A JACKS
11100 BILLINGSLEY RD
WALDORF, MD 20602-3400
Phone number: 301-357-4199
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