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Jettanna Burruss- Clark
NPI 1902590227 · on the registry since 2023 · sole proprietor
Practice
- Address
- 22 Meadow Pl
Waldorf, MD 20601 - Phone
- (240) 810-3952
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
172V00000X - Sex
- Female
- Record last updated
- 2026-02-11
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