Individual
MRS. JACQUAY MYESHA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5629
(301) 702-5110
Mailing address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5629
(301) 702-5110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17623
MD
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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