Individual
MR. OUSMAN PEN-VICTORIA JASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
4015 KILKENNY AVE, OXFORD, NC 27565-6976
(919) 604-4520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254-276
NC
Other
Enumeration date
12/30/2012
Last updated
12/30/2012
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