Individual
HALIMA SADIA DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 420-0048
(617) 442-0135
Mailing address
74 E HIGH ST, AVON, MA 02322-1200
(617) 733-5916
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN285291
MA
163WH0200X
Home Health Registered Nurse
RN285291
MA
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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