Individual
MELISSA JACKSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 AUTHUR CT, BRANDYWINE, MD 20613-2226
(301) 557-0529
Mailing address
12301 AUTHUR CT, BRANDYWINE, MD 20613-2226
(301) 557-0529
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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