MRS. Jeuelle M Ottley Sam, PA-C

NPI #1740341924 in Takoma Park, Maryland

Provider Information

NPI Number: 1740341924
Entity Type: Individual
Name: MRS. Jeuelle M Ottley Sam, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 12, 2006
Last Updated: Mar 5, 2021

Practice Location

Address: 7610 CARROLL AVE
Address 2: SUITE 200
City: Takoma Park
State: Maryland
ZIP Code: 20912-6384
Phone: (301) 891-2077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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