Individual
BABOUCARR JALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2647 HYDRAULIC RD APT F, CHARLOTTESVILLE, VA 22901-2321
(540) 827-8892
Mailing address
2647 HYDRAULIC RD APT F, CHARLOTTESVILLE, VA 22901-2321
(540) 827-8892
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
VWT-2561
VA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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