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Individual

JEER IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15215 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-3235
(301) 519-0902
(301) 519-0905
Mailing address
6005 MAGNOLIA PARK BLVD, RIVERVIEW, FL 33578-8659

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/20/2020
Last updated
08/25/2021
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