Genette Jackson
NPI #1104399096 in Beltsville, Maryland
Provider Information
- NPI Number
- 1104399096
- Entity Type
- Individual
- Name
- Genette Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 3, 2019
- Last Updated
- Jan 3, 2019
Practice Location
- Address
- 11011 CHERRY HILL RD
- City
- Beltsville
- State
- Maryland
- ZIP Code
- 20705-3801
- Phone
- (301) 572-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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