MARIAMA AMINA MASSAQUOI

FORT CARSON, CO
NPI1447691001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: HI  MD-17819)
Enumeration Date2013-07-11
Last Update Date2019-02-06
Business Address
MARIAMA AMINA MASSAQUOI M.D.
1650 COCHRANE CIR
FORT CARSON, CO 80913-4613
Phone number: 719-396-4896
Mailing Address
MARIAMA AMINA MASSAQUOI M.D.
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770