Ravanna Jackman-El

NPI #1134830623 in Baltimore, Maryland

Provider Information

NPI Number: 1134830623
Entity Type: Individual
Name: Ravanna Jackman-El
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: 14 S BROADWAY
City: Baltimore
State: Maryland
ZIP Code: 21231-1712
Phone: (667) 234-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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