MOUFOUTAHO LIASSOU

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1699115444

Practice Address

59 IONA ST
Providence, RI 02908

Phone: (401) 601-5857

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes PMV-302 (RI)

Frequently Asked Questions

NPI 1699115444 is the National Provider Identifier for MOUFOUTAHO LIASSOU, a Non-emergency Medical Transport (VAN) provider located in Providence, RI. This NPI was enumerated on June 25, 2013.
MOUFOUTAHO LIASSOU practices at 59 IONA ST, Providence, RI 02908.

Quick Facts

NPI
1699115444
Type
Individual
Enumerated
Jun 25, 2013
Last Updated
Jul 29, 2013

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