Individual
AWA JAMMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 RAMONA RD, NEWBURGH, NY 12550-7010
(718) 828-2666
Mailing address
22 RAMONA RD, NEWBURGH, NY 12550-7010
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
736349
NY
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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