Individual
ASSANATU MONORMA BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 COTTMAN AVE APT 428, PHILADELPHIA, PA 19111-3072
(217) 245-2131
Mailing address
800 COTTMAN AVE APT 428, PHILADELPHIA, PA 19111-3072
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN309923
PA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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