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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISSMAMA SISSOHORE, LPN

Active Sole Proprietor

MISSMAMA SISSOHORE, LPN is a Licensed Practical Nurse healthcare provider located in BLACKLICK, Ohio. NPI 1164621603 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BLACKLICK, OH

Registration Details

NPI Number
1164621603
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2007 (19.086802744236 yrs)
Last Updated
Jul 14, 2007
License
PN124502 (OH)
Sole Proprietor
Yes

Practice Information

Address
8634 GREYLAG ST
BLACKLICK, OH, 430047003
Browse OH providers · Browse ZIP 43004
Phone
6147554972
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BLACKLICK, OH

Name Credential NPI
EILEEN M. TROMBLEY LPN 1831226133
KEISHA LARONE MACK LPN 1841478112
RONDA M TYUS LPN 1235389420
ALEKSANDRA MANN LPN 1932349768
BAI KOROMA LPN 1396972253
STEVE QUARSHIE LPN 1689806994
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.