Individual
AWA JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 WOODSTREAM TURN, LANHAM, MD 20706-2147
(240) 505-8935
Mailing address
6910 WOODSTREAM TURN, LANHAM, MD 20706-2147
(240) 505-8935
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00192682
MD
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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