Individual
MAMADOU SALIEU JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
4236 CODE PL, COLUMBUS, OH 43207-8623
(614) 327-2126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.444588
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0029755
OH
Other
Enumeration date
05/11/2018
Last updated
10/08/2021
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