Individual
RHONITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
2127 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2836
(202) 269-3579
Mailing address
10704 CALICO ASTER CT, UPPER MARLBORO, MD 20772-6346
(202) 230-6211
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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