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Individual

DJAMAA EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3101 S WALLACE ST # 260, CHICAGO, IL 60616-3028
(786) 505-7161
Mailing address
3101 S WALLACE ST # 260, CHICAGO, IL 60616-3028
(786) 505-7161

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041327279
IL

Other

Enumeration date
06/21/2022
Last updated
06/21/2022
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