Individual
KADIJATU BOKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E 156TH ST APT 15C, BRONX, NY 10455-1434
(347) 942-7062
Mailing address
510 E 156TH ST APT 15C, BRONX, NY 10455-1434
(347) 942-7062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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