Individual
JACQUELINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1273 FAIRCHILD AVE, HAGERSTOWN, MD 21742-4602
(202) 705-1308
Mailing address
1273 FAIRCHILD AVE, HAGERSTOWN, MD 21742-4602
(202) 705-1308
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L21685920
L21685920
MD
Enumeration date
06/02/2021
Last updated
06/02/2021
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