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Idil A Jama
Developmental Disabilities Clinic/Center in Annandale, Virginia
NPI 1164145280

Idil A Jama is a Developmental Disabilities Clinic/Center based in Annandale, VA and is specialized in Developmental Disabilities. Idil A Jama practices in Annandale, VA. The NPI Number for Idil A Jama is 1164145280 and holds a License No. 3969-001 (Virginia).

The current practice location address for Idil A Jama is 4609 Guinea Rd, Annandale, VA and can be reached out via phone at 703-282-6389.

Location: 4609 Guinea Rd, Annandale, VA, 22003-3956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164145280
Provider Name
Idil A Jama
Credential
Provider Entity Type
Individual
Gender
Female
Address
4609 Guinea Rd, Annandale, VA, 22003-3956
Phone Number
703-282-6389
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4609 Guinea Rd
City
Annandale
State
Virginia
Zip
22003-3956
Phone Number
703-282-6389
Fax Number
person
Provider Business Mailing Address Details
Address
4609 Guinea Rd
City
Annandale
State
Virginia
Zip
22003-3956
Phone Number
703-282-6389
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
3969-001 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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