Individual
KADIDIATOU DIAWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 HOOPER AVE #15, 1747 HOOPER AVE #15, TOMS RIVER, NJ 08753
(848) 448-5831
Mailing address
1747 HOOPER AVE # 15, TOMS RIVER, NJ 08753-8165
(848) 448-5831
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D40284240061912
NJ
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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