Provider Demographics
NPI:1922789916
Name:ADAMS-O'HAIR, ALYSSA JAZZEL
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:JAZZEL
Last Name:ADAMS-O'HAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7851 TAM OSHANTER BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-5340
Mailing Address - Country:US
Mailing Address - Phone:954-826-5205
Mailing Address - Fax:
Practice Address - Street 1:7851 TAM OSHANTER BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-5340
Practice Address - Country:US
Practice Address - Phone:954-826-5205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program