Individual
AMADOU B JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20100 N 51ST AVE, SUITE F620, GLENDALE, AZ 85308-5125
(623) 376-6328
Mailing address
20100 N 51ST AVE, SUITE F620, GLENDALE, AZ 85308-5125
(623) 376-6328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6589
AZ
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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