Individual
BALQIS TASLEEM ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E MAIN ST STE C, JAMESTOWN, NC 27282-9199
(336) 510-9785
Mailing address
115 E MAIN ST STE C, JAMESTOWN, NC 27282-9199
(336) 510-9785
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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