Individual
RUAA JASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 FAIRFAX AVE STE 200, NORFOLK, VA 23507-2007
(757) 446-5629
(757) 446-6000
Mailing address
2130 MARINA SHORES DR APT 301, VIRGINIA BEACH, VA 23451-6859
(561) 427-3932
(757) 446-6000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0109542124
VA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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