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Individual
MISS SAFA ESAM JASSIM
Active
Individual
MISS SAFA ESAM JASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
1020667
TX
363L00000X
Nurse Practitioner
1020667
TX
363LF0000X
Family Nurse Practitioner
Primary
1020667
TX
Other
Enumeration date
04/23/2021
Last updated
01/22/2024
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