Individual
ADANNA HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7350 VAN DUSEN RD # 2617, LAUREL, MD 20707-5263
(301) 604-8000
Mailing address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
03/15/2020
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