Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOUFOUTAHO LIASSOU
Active Sole ProprietorMOUFOUTAHO LIASSOU is a Bus healthcare provider located in PROVIDENCE, Rhode Island. NPI 1699115444 is currently active in the NPPES registry. Verify at CMS.
Bus · PROVIDENCE, RI
Registration Details
- NPI Number
- 1699115444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2013 (13.125722134868 yrs)
- Last Updated
- Jul 29, 2013
- License
-
PMV-302 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 IONA STPROVIDENCE, RI, 029082307Browse RI providers · Browse ZIP 02908
- Phone
- 4016015857
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| JIMMY ANSONG | — | 1063984417 |
| ABDULGIYATH O MAYALEEKE | — | 1144793274 |
| IRIS ORTIZ | OWNER | 1417649252 |
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.