Individual
KADDIJATOU JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18566 WOODCREST ST, HARPER WOODS, MI 48225-2014
(586) 498-6013
Mailing address
18566 WOODCREST ST, HARPER WOODS, MI 48225-2014
(586) 498-6013
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124956
MI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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