NPI 1699115444
Moufoutaho Liassou
Practice location
- Address
- 59 Iona St, Providence, RI 02908-2307
- Phone
- (401) 601-5857
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1699115444
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jun 2013
- Record last updated
- 29 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.