Individual
HAWA D DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Mailing address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
(781) 592-0581
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2369103
MA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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