Individual
JASON ISAIAH DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 34TH ST, MOUNT RAINIER, MD 20712-1736
(301) 442-8632
Mailing address
4210 34TH ST, MOUNT RAINIER, MD 20712-1736
(301) 442-8632
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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