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Individual

JASMINE OMAR HALTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7505 OSLER DR STE 208, TOWSON, MD 21204-7738
(410) 821-7572
Mailing address
137 BEACON RUN, SUFFOLK, VA 23435-1375
(919) 758-4495

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C08972
MD

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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