JASON GADNER ELIASSAINT

BALTIMORE, MD
NPI1972143915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R189215)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
JASON GADNER ELIASSAINT
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-492-5538
Mailing Address
JASON GADNER ELIASSAINT
410 WARFIELD DR APT 1091
LANDOVER, MD 20785-4785
Phone number: 404-992-1632
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