Sherrell Jackson

NPI #1174250518 in Baltimore, Maryland

Provider Information

NPI Number
1174250518
Entity Type
Individual
Name
Sherrell Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 5, 2022
Last Updated
Aug 5, 2022

Practice Location

Address
5441 BALTIMORE NATIONAL PIKE STE 4B
ZIP Code
21229-2102
Phone
(443) 516-7682

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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