Individual
JESSICA JAW AL-MASHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(405) 741-7614
(540) 741-7615
Mailing address
1611 NW 12TH AVE, C-301, DEPARTMENT OF ANESTHESIOLOGY, MIAMI, FL 33136-1005
(305) 585-6970
(305) 545-6501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101266190
VA
Other
Enumeration date
03/26/2015
Last updated
08/05/2019
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