Individual
MARY ALICE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 MORGAN DR, CHEVY CHASE, MD 20815-5314
(801) 368-7422
Mailing address
4611 MORGAN DR, CHEVY CHASE, MD 20815-5314
(801) 368-7422
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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