Mrs. Angela Jackson
Mrs. Angela Jackson is a Prosthetist in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2020.
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
2164 Bonnie LnWaldorf, MD 20601-3902
Phone: (202) 748-1632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence 231822 (MD) |
|---|
Record details
| NPI number | 1336742469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 20, 2020 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 173 Saint Patricks Dr Ste 195, Waldorf, MD 20603-5529 |
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