Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDIL A JAMA
Active Sole ProprietorIDIL A JAMA is a Developmental Disabilities Clinic healthcare provider located in ANNANDALE, Virginia. NPI 1164145280 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · ANNANDALE, VA
Registration Details
- NPI Number
- 1164145280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2022 (3.9014170122885 yrs)
- Last Updated
- Sep 23, 2022
- License
-
3969-001 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4609 GUINEA RDANNANDALE, VA, 220033956Browse VA providers · Browse ZIP 22003
- Phone
- 7032826389
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.