Individual
FATMATA JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
18589 N 59TH AVE STE 101, GLENDALE, AZ 85308-1258
(602) 547-2600
Mailing address
8750 W MISSOURI AVE, GLENDALE, AZ 85305-2924
(602) 748-5197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
313792
AZ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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