Mam Jallow

NPI #1225368335 in Anchorage, Alaska

Provider Information

NPI Number: 1225368335
Entity Type: Individual
Name: Mam Jallow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Jan 12, 2010
Last Updated: Feb 7, 2018

Practice Location

Address: 1493 MOSS CREEK AVE
City: Anchorage
State: Alaska
ZIP Code: 99507-3800
Phone: (907) 929-5620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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