Individual
TATA SOUMOUNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 WASHINGTON AVE APT 19E, BRONX, NY 10456-2039
(347) 908-0072
Mailing address
1350 WASHINGTON AVE APT 19E, BRONX, NY 10456-2039
(347) 908-0072
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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