Individual
AWAL JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 CIMARRON TRL, MADISON, WI 53719-2412
(206) 620-4880
Mailing address
2845 CIMARRON TRL, MADISON, WI 53719-2412
(206) 629-4880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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