Individual
MR. FATOUMATA TRAORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1187 ANDERSON AVE, APT 6A, BRONX, NY 10452-3833
(347) 750-9941
Mailing address
1187 ANDERSON AVE, APT 6A, BRONX, NY 10452
(347) 750-9941
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222337-1
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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