Individual
JANNAH-JANNATUL JIBREEL AHKIRAH ESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9349
Mailing address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101954
MA
Other
Enumeration date
05/13/2025
Last updated
10/01/2025
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