Individual
ABDOULAYE SOUMAHORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 WEBSTER ST, PAWTUCKET, RI 02861-1016
(401) 359-0720
(401) 495-4022
Mailing address
68 WEBSTER ST, PAWTUCKET, RI 02861-1016
(401) 359-0720
(401) 495-4022
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2310551
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310551
—
RI
Enumeration date
12/17/2018
Last updated
12/17/2018
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