Individual
MRS. JACINTH EDNA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6250 OLD DOBBIN LN, COLUMBIA, MD 21045-5816
(410) 730-3399
(443) 478-4736
Mailing address
6230 OLD DOBBIN LN STE 230, COLUMBIA, MD 21045-5884
(410) 730-3399
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D40209
MD
Other
Enumeration date
11/02/2006
Last updated
10/21/2024
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