Individual
JALISA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E CHASE ST STE 1135, BALTIMORE, MD 21202-2565
(410) 499-2654
Mailing address
1 E CHASE ST STE 1135, BALTIMORE, MD 21202-2565
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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