Moufoutaho Liassou
Moufoutaho Liassou is a Non-emergency Medical Transport (VAN) in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.
- Licensed in
- RI
- In the registry since
- 2013
Practice location Address checks out
59 Iona StProvidence, RI 02908-2307
Phone: (401) 601-5857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence PMV-302 (RI) |
|---|
Record details
| NPI number | 1699115444 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 25, 2013 |
| Last updated in NPPES | July 29, 2013 |
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