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Individual

JACKSON A. MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAC, LAC

Contact information

Practice address
6302 FALLS RD, SUITE C, BALTIMORE, MD 21209-2038
(443) 604-4157
Mailing address
7907 VALLEY MANOR RD, UNIT F, OWINGS MILLS, MD 21117-5335
(443) 604-4157

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02388
MD

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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