TAYE IKOTUN SR.

Driver

Active Individual
NPI: 1336611128

Practice Address

15 NORTON ST
Pawtucket, RI 02860

Phone: (401) 288-8172

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 3195748 (RI)

Frequently Asked Questions

NPI 1336611128 is the National Provider Identifier for TAYE IKOTUN SR., a Driver provider located in Pawtucket, RI. This NPI was enumerated on December 18, 2018.
TAYE IKOTUN SR. practices at 15 NORTON ST, Pawtucket, RI 02860.

Quick Facts

NPI
1336611128
Type
Individual
Enumerated
Dec 18, 2018
Last Updated
Dec 18, 2018

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