Individual
ZANA JAMAL AL-SALOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1814
(304) 293-2612
(304) 293-3731
Mailing address
918 WILLOWDALE RD APT 206, MORGANTOWN, WV 26505-7345
(734) 747-0727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001435
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2021
Last updated
07/16/2024
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