Individual
AISSATOU BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 8TH AVE, SPOKANE, WA 99202-1201
(509) 474-5678
Mailing address
3828 STEPPING STONE LN, BURTONSVILLE, MD 20866-1935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A00053654
MD
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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