Individual
OUSMAN JARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 TRAILSWAY APT 5, MADISON, WI 53704-2936
(608) 241-3018
Mailing address
1525 TRAILSWAY APT.5, MADISON, WI 53704-2936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308159-031
WI
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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