Provider Demographics
NPI:1922687433
Name:ZOUAI, ROUMAISSA
Entity Type:Individual
Prefix:
First Name:ROUMAISSA
Middle Name:
Last Name:ZOUAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1214
Mailing Address - Country:US
Mailing Address - Phone:347-220-9957
Mailing Address - Fax:
Practice Address - Street 1:173 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1214
Practice Address - Country:US
Practice Address - Phone:347-220-9957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program