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Search › Maryland › 171M00000X

Earlene Jackson

NPI 1851167589 · on the registry since 2023 · sole proprietor

Practice

Address
7311 Loanda Dr
Upper Marlboro, MD 20772
Phone
(301) 442-5779
Organisation at this address
Castyurcares Llc
Castyurcares Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-04

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