Individual
AISSATOU DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-3411
(774) 826-2431
Mailing address
940 BELMONT ST BLDG 2, BROCKTON, MA 02301-5596
(774) 826-3411
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN2286232
MA
Other
Enumeration date
05/29/2021
Last updated
09/29/2023
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