MOUFOUTAHO LIASSOU

PROVIDENCE, RI
NPI1699115444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: RI  PMV-302)
Enumeration Date2013-06-25
Last Update Date2013-07-29
Business Address
-- MOUFOUTAHO LIASSOU
59 IONA ST
PROVIDENCE, RI 02908-2307
Phone number: 401-601-5857
Mailing Address
-- MOUFOUTAHO LIASSOU
59 IONA ST
PROVIDENCE, RI 02908-2307
Phone number: 401-601-5857
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