Mamadou Aliou Balde, Healthcare student
Student in an Organized Health Care Education/Training Program in Lowell, MA. Individual provider (NPI-1).
NPI number1710269592
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1710269592
- Entity type
- Individual (NPI-1)
- Name
- Mamadou Aliou Balde
- Credential
- Healthcare student
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2011
- Last updated
- Sep 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA | Yes |
Practice location
399 Walker St29
Lowell, MA 01851-2555
Phone 617-669-9240
Mailing address
399 Walker St29
Lowell, MA 01851-2555
Phone 617-669-9240
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