SearchRhode Island343900000X

Moufoutaho Liassou

NPI 1699115444 · on the registry since 2013 · sole proprietor

Practice

Address
59 Iona St
Providence, RI 02908
Phone
(401) 601-5857
Organisation at this address
L&R Transportation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island