Provider Demographics
NPI:1942959598
Name:POUNCEY-MUHAMMAD, DAYSHAN OLIVIA (CNA)
Entity Type:Individual
Prefix:
First Name:DAYSHAN
Middle Name:OLIVIA
Last Name:POUNCEY-MUHAMMAD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2467
Mailing Address - Country:US
Mailing Address - Phone:203-435-0187
Mailing Address - Fax:
Practice Address - Street 1:35 ROBERTSON RD
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2467
Practice Address - Country:US
Practice Address - Phone:203-435-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health