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Individual

JALISA MARIE GARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-8981
Mailing address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-8981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R209736
MD

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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