Individual
MR. MOHAMED BAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
601 W 1ST AVE, SPOKANE, WA 99201-3825
(509) 418-5216
Mailing address
3744 ARMAND DR, DICKINSON, TX 77539-4461
(509) 418-5216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61473790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MO
Enumeration date
09/03/2019
Last updated
02/14/2024
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