Individual
KHADIJAH JALUFA JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
462850
OH
Other
Enumeration date
05/31/2012
Last updated
09/17/2019
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