-- PAMELA DAWN RANDOLPH JACKSON -- MD
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1801813407- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 110 IRVING ST NW, WASHINGTON, DC, 20010
- Phone
- (800) 353-0788
- Fax
- (804) 355-6031
Specialties & Taxonomies
Unknown
Primary License: DC #DC 19357