Individual
JACQUELINE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12345 PARKLAWN DR STE R1312345, ROCKVILLE, MD 20852-1725
(240) 355-8338
Mailing address
8401 MANCHESTER RD, SILVER SPRING, MD 20901-4359
(240) 355-8338
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
MD
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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