Jamal Gary Sisco
Case Manager/Care Coordinator in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1033775853
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1033775853
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jamal Gary Sisco
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2019
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
13324 Burleigh StUpper Marlboro, MD 20774-1961
Phone 202-839-1645
Mailing address
13324 Burleigh StUpper Marlboro, MD 20774-1961
Phone 202-839-1645
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All 132 Case Manager/Care Coordinator providers in Upper Marlboro · All 2,454 providers in Upper Marlboro
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