Individual
LISA HARRIETT JABLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CS
Contact information
Practice address
615 FREDERICK RD, BALTIMORE, MD 21228-4626
(410) 887-0800
(410) 887-1050
Mailing address
3717 LANAMER RD, RANDALLSTOWN, MD 21133-1532
(410) 922-8393
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R036570
MD
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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