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Individual
JESSALYNN ADAM
Active
Individual
JESSALYNN ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MT205100
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101273498
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
D86141
MD
Other
Enumeration date
06/13/2013
Last updated
06/12/2024
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