Individual
ASEEYAH AMBREEN ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6625 CLAYTON AVE APT 216, SAINT LOUIS, MO 63139-3364
(404) 547-6673
Mailing address
3260 ROYAL CREEK WAY SW, LILBURN, GA 30047-1886
(404) 547-6673
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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