Organization
A QUEEN MOMMA DOULA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MARIE JACKSON (OWNER & OPERATOR)
(240) 360-1383
Entity
Organization
Contact information
Practice address
4120 TUDOR RD, UPPER MARLBORO, MD 20772-9374
(240) 360-1383
Mailing address
4120 TUDOR RD, UPPER MARLBORO, MD 20772-9374
(240) 360-1383
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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