Individual
MANAL JABAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 595-1115
Mailing address
20614 GREAT LAUREL AVE, TAMPA, FL 33647-3271
(354) 345-5610
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DL15600
MA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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