Individual
MRS. SHARON A JAECKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6802 MURRAY LN, ANNANDALE, VA 22003-1924
(703) 927-6960
Mailing address
6802 MURRAY LN, ANNANDALE, VA 22003-1924
(703) 927-6960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305002048
VA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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