Individual
FUDIA JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 E DIEHL RD STE 123, NAPERVILLE, IL 60563-4908
(331) 826-0226
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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