Most Relevant Information
Provider Data
| NPI Number: | 1003241928 |
| Provider Name: | BABA THIAM |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 151658 |
Most Important Dates
| Enumeration Date: | 09/10/2013 |
| Last Updated: | 09/10/2013 |
Provider Practice Location
6642 LAKESIDE DR
302 G
WEST CHESTER
OH
450697680
Practice Location Phone/Fax
| Phone: | 5135461059 |
| Fax: |
Provider Mailing Location
6642 LAKESIDE DR APT 302G
WEST CHESTER
OH
450697738
Provider Mailing Phone/Fax
| Phone: | 5135461059 |
| Fax: |