Individual
AYAM JASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 S HARRISON ST, ARLINGTON, VA 22204-2644
(202) 710-6973
Mailing address
847 S HARRISON ST, ARLINGTON, VA 22204-2644
(202) 710-6973
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401172049
VA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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