Individual
MARTHA JAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14208 GRAND PRE RD, APT. 303, SILVER SPRING, MD 20906-2810
(301) 221-3680
Mailing address
14208 GRAND PRE,, APT. 303, SILVER SPRING, MD 20906
(301) 221-3680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006220
DC
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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