Individual
CRYSTAL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
4120 TUDOR RD, UPPER MARLBORO, MD 20772-9374
(240) 360-1383
Mailing address
4120 TUDOR RD, UPPER MARLBORO, MD 20772-9374
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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