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Dainty Jackson, D. O
NPI 1194765834 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11315 Pembrooke Sq Ste 112
Waldorf, MD 20603 - Phone
- (301) 885-3350
- Fax
- (240) 222-3899
- Organisation at this address
- Civista Clinical Services Llc
Mendelis Mental Health Center Llc
Lca Psychological Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 10 Saint Patricks Dr, Waldorf, MD
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland