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Individual
LA TASHA AL-JARBOUA
Active
Individual
LA TASHA AL-JARBOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
0010-04854
NC
2084P0802X
Addiction Psychiatry Physician
54234
CA
2084P0804X
Child & Adolescent Psychiatry Physician
0010-04854
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
54234
CA
363A00000X
Physician Assistant
0010-04854
NC
363A00000X
Physician Assistant
54234
CA
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
06/12/2014
Last updated
11/17/2020
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