Individual
MARIAM FOZIEH JALLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6161 EDSALL RD APT 502, ALEXANDRIA, VA 22304-4130
(703) 677-4116
Mailing address
6161 EDSALL RD APT 502, ALEXANDRIA, VA 22304-4130
(703) 677-4116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176320
VA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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