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Individual

AYESHA TAMKINAT JALAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-4491
Mailing address
1385 NW 122ND TER, PEMBROKE PINES, FL 33026-4308
(732) 372-9411

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/07/2021
Last updated
07/08/2021
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