Individual
JAMELLAH ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17180 ROYAL PALM BLVD, SUITE # 3, WESTON, FL 33326-2394
(954) 482-4747
Mailing address
700 SW 78TH AVE, APT 922, PLANTATION, FL 33324-3298
(321) 432-6252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108993
FL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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