Individual
BAKEY KOUANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 PARK DR APT 6-1, BOSTON, MA 02215-4914
(917) 704-8723
(917) 704-8723
Mailing address
27 PARK DR APT 6-1, BOSTON, MA 02215-4914
(917) 704-8723
(917) 704-8723
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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