Individual
TANIKA DIAKHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1751 WALKER AVE, APT D, UNION, NJ 07083-4443
(347) 224-5704
Mailing address
1751 WALKER AVE, APT D, UNION, NJ 07083-4443
(347) 224-5704
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278798-1
NY
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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