Individual
AISSATOU DALANDA DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
61 MEETINGHOUSE CIR, SICKLERVILLE, NJ 08081-4896
(201) 285-9390
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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