Individual
ALFREDO JACKSON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11416 ROSALIE DR, FORT WASHINGTON, MD 20744-2615
(202) 725-3080
Mailing address
11416 ROSALIE DR, FORT WASHINGTON, MD 20744-2615
(202) 725-3080
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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