Most Relevant Information
Provider Data
| NPI Number: | 1003229253 |
| Provider Name: | MARIAM DIENE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 312984 |
Most Important Dates
| Enumeration Date: | 06/05/2014 |
| Last Updated: | 06/05/2014 |
Provider Practice Location
506 TINTON AVE APT 20S
BRONX
NY
104554582
Practice Location Phone/Fax
| Phone: | 9178686449 |
| Fax: |
Provider Mailing Location
506 TINTON AVE APT 20S
BRONX
NY
104554582
Provider Mailing Phone/Fax
| Phone: | 9178686449 |
| Fax: |