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Individual

MOHAMED D DAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
95 WEST 195TH STREET APT 1A, BRONX, NY 10468
(347) 375-4885
Mailing address
95 W 195TH ST APT 1A, 95 WEST 195TH STREET APT 1A, BRONX, NY 10468-2570
(347) 375-4885

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
683624
NY

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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