Individual
LAURA MONICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5037 CALL PL SE APT 200, WASHINGTON, DC 20019-7693
(202) 904-8241
Mailing address
3150 ARNOLD AVE SW, BOLLING AFB, DC 20032-7677
(915) 300-8361
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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