REGINA JACKSON

FREDERICK, MD
NPI1588253884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
REGINA JACKSON
650 HEATHER RIDGE DR UNIT L
FREDERICK, MD 21702-8814
Phone number: 240-656-8166
Mailing Address
REGINA JACKSON
650 HEATHER RIDGE DR UNIT L
FREDERICK, MD 21702-8814
Phone number: 240-656-8166