Individual
UMM HABIBAH SADAQA ABDULJALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 PENNEFEATHER LN, LAWRENCEVILLE, GA 30043-4714
(404) 707-6442
Mailing address
1165 PENNEFEATHER LN, LAWRENCEVILLE, GA 30043-4714
(404) 707-6442
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
053176244
GA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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