Mr. David Kenneth Jackson, ABOC
Mr. David Kenneth Jackson, ABOC is an Optician in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2008
Practice location Address checks out
4200 Elderon AveBaltimore, MD 21215-4802
Phone: (410) 664-4508
Fax: (410) 664-0605
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 072195 (MD) |
|---|
Record details
| NPI number | 1851566467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABOC |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2008 |
| Last updated in NPPES | April 24, 2008 |
| Mailing address | 4200 Elderon Ave, Baltimore, MD 21215-4802 |
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