Mballou Traore
Nurse's Aide in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1316807357
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1316807357
- Entity type
- Individual (NPI-1)
- Name
- Mballou Traore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2025
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | MI | Yes |
| 106S00000X | Behavior Technician | 1316807357 | MI |
Practice location
765 Forest CtYpsilanti, MI 48198-3915
Phone 774-688-2545
Mailing address
765 Forest CtYpsilanti, MI 48198-3915
Phone 774-688-2545
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