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Regina Jackson

NPI 1588253884 · on the registry since 2021 · sole proprietor

Practice

Address
650 Heather Ridge Dr Unit L
Frederick, MD 21702
Phone
(240) 656-8166

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Female
Record last updated
2021-01-12

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