Individual
WANDA DEL CARMEN JIRAU-ROSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST., TACOMA, WA 98431-0001
(253) 968-2252
(253) 968-3278
Mailing address
1499 WALTON WAY STE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100
(706) 721-7016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01059043A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
077153
GA
Other
Enumeration date
07/16/2008
Last updated
07/21/2022
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