Individual
JAREATHA ABDUL-RAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236-5638
(210) 916-9928
(210) 916-9332
Mailing address
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236-5638
(210) 916-9928
(210) 916-9332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36071
NE
Other
Enumeration date
12/02/2019
Last updated
05/24/2025
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