Individual
KATRINA LATICHE' HAMMOND-JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0100028
MD
208000000X
Pediatrics Physician
MD049320
DC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
D0100028
MD
Other
Enumeration date
04/09/2018
Last updated
06/11/2024
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