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Individual

AMJED B JADALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3611 CARPENTER ST, HAMTRAMCK, MI 48212-2784
(313) 733-8286
Mailing address
5217 JONATHON ST, DEARBORN, MI 48126-3313
(313) 918-8893

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704362677
MI

Other

Enumeration date
07/05/2022
Last updated
07/13/2022
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