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Search › Maryland › 363A00000X

Jeuelle Ottley Sam, PA-C

NPI 1740341924 · on the registry since 2006

Practice

Address
7610 Carroll Ave
Suite 200
Takoma Park, MD 20912
Phone
(301) 891-2077
Fax
(301) 891-2080
Organisation at this address
Kouekam Llc
Park Pediatrics
Park Pediatrics
Pablo Renart Md
Align Rehab, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
70

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland