Awoussou Agoudavi, Talata Nessibatou

Awoussou Agoudavi, Talata Nessibatou is an sole proprietor health care provider with primary practice located at 16323 Mathias Ave , Jamaica NY 11433-3926. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Awoussou Agoudavi, Talata Nessibatou can be contacted via phone (347) 876-1047.

Contact Information

Primary practice address
16323 Mathias Ave Jamaica NY 11433-3926
Phone: (347) 876-1047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 032379-01 New York

Profile Details

NPI number 1326781410
LBN Legal business name Awoussou Agoudavi, Talata Nessibatou
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2022
Last updated Apr 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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