Provider Demographics
NPI:1962745570
Name:PLAMONDON, JENNA (MSC, MSC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:PLAMONDON
Suffix:
Gender:F
Credentials:MSC, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 S GREENE ST
Mailing Address - Street 2:ROOM N6E10
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:410-328-3339
Mailing Address - Fax:410-328-0279
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:ROOM N6E10
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-3339
Practice Address - Fax:410-328-0279
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS