Individual
JAZZMINE ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 SIMMS AVE, BALTIMORE, MD 21206-5530
(443) 810-5519
Mailing address
4702 SIMMS AVE, BALTIMORE, MD 21206-5530
(443) 810-5519
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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