Individual
MS. JETAUNE CHERIE DALTON-SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 LEWISHAM PL APT 102, WALDORF, MD 20602-5128
(240) 320-5914
Mailing address
11601 LEWISHAM PL APT 102, WALDORF, MD 20602-5128
(240) 320-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R104778
MD
163W00000X
Registered Nurse
RN1011791
DC
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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