PRUDENCE JACKSON

BALTIMORE, MD
NPI1548203482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MD  D37659)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
-- PRUDENCE JACKSON MD
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 410-368-2014
Mailing Address
-- PRUDENCE JACKSON MD
10515 BILL LILLY CT
LAUREL, MD 20723-1291
Phone number: 301-953-2747
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