Individual
JEZREELYN BULAKLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4799
(202) 316-8279
Mailing address
10500 ROCKVILLE PIKE UNIT M22, ROCKVILLE, MD 20852-3374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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