SearchMaryland101YM0800X

Traina Jackson

NPI 1932478989 · on the registry since 2011 · sole proprietor

Practice

Address
243 Eisenhower Ct
Odenton, MD 21113
Phone
(410) 440-6220

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-12-20

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