Lacine Ouattara RN

NPI 1154615920 - Registered Nurse - 163W00000X

NPI Details
NPI 1154615920
Gender Male
Enumeration Date 06/08/2011
Last Updated 03/26/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
468 VAN DUZER ST APT C4
STATEN ISLAND NY, 10304-2082, US
Phone (646) 709-8294
Fax
Business Location
468 VAN DUZER STREET APT# C4
STATEN ISLAND NY, 10304, US
Phone (646) 709-8294
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 642049
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According to our database, Mr. Lacine Ouattara RN NPI is 1154615920, taxonomy code is 163W00000X and license number is 642049, license state is located at New York. Lacine Ouattara RN physically located at 468 Van Duzer St Apt C4, Staten Island NY, 10304-2082. NPI Number Lacine Ouattara RN has the Individual type.

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1154615920 NPI number is provided on an as is basis without warranty of any kind. 1154615920 is maintained by the National Plan & Provider Enumeration System. The contents of Lacine Ouattara RN are for informational purposes only.