Organization
JALLOW KIA ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIEU ESSA JALLOW NP (NURSE PRACTITIONER)
(248) 767-3405
Entity
Organization
Contact information
Practice address
1408 MILL POND DR, WATERFORD, MI 48327-3088
(248) 767-3405
Mailing address
1408 MILL POND DR, WATERFORD, MI 48327-3088
(248) 767-3405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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