Individual
JESSY EDOUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 GREENBELT RD, GREENBELT, MD 20770
(301) 837-0055
Mailing address
1133 EAST-WEST HWY, APT 318W, SILVER SPRING, MD 20910
(267) 664-4267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22738
MD
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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