FANTA DIALLO

BRONX, NY
NPI1972908911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  308350-1)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
-- FANTA DIALLO
1423 TELLER AVE 1K
BRONX, NY 10456-1002
Phone number: 347-781-3761
Mailing Address
-- FANTA DIALLO
1423 TELLER AVE 1K
BRONX, NY 10456-1002
Phone number: 347-781-3761