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Individual

DALANDA MARIAMMA DIALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
Mailing address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D87366
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME128920
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D87366
LICENSE
MD
Enumeration date
04/03/2014
Last updated
10/16/2020
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