MR. Ousman Pen-Victoria Jassey
NPI #1619213295 in South Hill, Virginia
Provider Information
- NPI Number
- 1619213295
- Entity Type
- Individual
- Name
- MR. Ousman Pen-Victoria Jassey
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 30, 2012
- Last Updated
- Dec 30, 2012
Practice Location
- Address
- 125 BUENA VISTA CIR
- City
- South Hill
- State
- Virginia
- ZIP Code
- 23970-1431
- Phone
- (434) 447-3151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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Organizations
| Provider Name | |
|---|---|
| Alpha Recovery Center, LLC Part of Anna Peace, LLC |
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