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Individual

JELI SALAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3110 KYLE AVE, UPPER MARLBORO, MD 20774-2566
(301) 523-6518
Mailing address
3110 KYLE AVE, UPPER MARLBORO, MD 20774-2566
(301) 523-6518

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19592
MD

Other

Enumeration date
07/19/2010
Last updated
07/19/2010
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