Individual
DR. ANNETTE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2041 E MONUMENT ST, BALTIMORE, MD 21205-2222
(410) 955-3600
(410) 955-0431
Mailing address
2041 E MONUMENT ST, BALTIMORE, MD 21205-2222
(410) 955-3600
(410) 955-0431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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