KAULA JACKS

PRINCE FREDERICK, MD
NPI1760930713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD  A0000893)
Enumeration Date2016-09-20
Last Update Date2016-09-21
Business Address
-- KAULA JACKS ATC, LAT
600 DARES BEACH RD
PRINCE FREDERICK, MD 20678-4200
Phone number: 410-610-7718
Mailing Address
-- KAULA JACKS ATC, LAT
8501 BAYSIDE RD UNIT C4
CHESAPEAKE BEACH, MD 20732-3313
Phone number:
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