Individual
MR. IBRAHIM JALLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7500 HANOVER PKWY, GREENBELT, MD 20770-2010
(301) 441-8696
Mailing address
9901 POPLAR ST, LANHAM, MD 20706-4733
(240) 486-6931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R185493
MD
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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