Individual
MS. SHERMA JACK-BRISSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRI
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5250
(301) 702-5262
Mailing address
2101 EAST JEFFERSON ST, KAISER PERMANENTE, ROCKVILLE, MD 20852-4908
(301) 816-7446
(301) 816-7170
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N00207
MD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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