Individual
KHALIHA JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
10204 FLATLANDS AVE, BROOKLYN, NY 11236-2810
(718) 306-5503
(718) 257-4033
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008792
NY
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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