Individual
JESSICA CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S HANOVER ST, BROOKLYN, MD 21225-1232
(410) 350-8372
Mailing address
20410 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-1186
(301) 540-5190
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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