Individual
DJITA SIDIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 PLAIN ST, BRIDGEWATER, MA 02324-1926
(401) 712-3474
Mailing address
336 PLAIN ST, BRIDGEWATER, MA 02324-1926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2338835
MA
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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