Individual
KANIDANAN MARIAME COULIBALY EPSE DIABATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
170 SHEILA DR, ANTIOCH, TN 37013-3528
(303) 332-4593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000246851
TN
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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