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Organization
FAMILY AFFAIR CARE, LLC
Active
Organization
FAMILY AFFAIR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA YVETTE JACKSON MASTER IN NURSING (NURSE PRACTITIONER)
(443) 418-4254
Entity
Organization
Contact information
Practice address
343 CHAMBORLEY DR, REISTERSTOWN, MD 21136-6151
(443) 418-4254
Mailing address
343 CHAMBORLEY DR, REISTERSTOWN, MD 21136-6151
(443) 418-4254
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
NULL
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
10/02/2021
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