Individual
JILLIENNE ROSE CAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
196 THOMAS JOHNSON DR STE 120, FREDERICK, MD 21702-4521
(240) 566-3130
(240) 566-3131
Mailing address
196 THOMAS JOHNSON DR STE 120, FREDERICK, MD 21702-4521
(240) 566-3130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006892
MD
Other
Enumeration date
08/27/2018
Last updated
05/04/2023
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