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Individual

RANI-KAI JAMILAH SAMUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SPT

Contact information

Practice address
4040 FAIRFAX DR STE 202, ARLINGTON, VA 22203-1613
(703) 284-5901
Mailing address
3350 TOLEDO TER APT 309, HYATTSVILLE, MD 20782-1399
(352) 457-8189

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/29/2018
Last updated
04/29/2018
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