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Individual

NAJLAA JALEESAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6801 GOV GEORGE C. PEERY HWY,, RICHLANDS, VA 24641
(276) 596-6153
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101269769
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2016
Last updated
10/06/2020
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