Provider Demographics
NPI:1801693940
Name:DIALLO, OUMOU SALMA
Entity type:Individual
Prefix:
First Name:OUMOU
Middle Name:SALMA
Last Name:DIALLO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-2238
Mailing Address - Country:US
Mailing Address - Phone:862-872-0307
Mailing Address - Fax:
Practice Address - Street 1:160 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-2238
Practice Address - Country:US
Practice Address - Phone:862-872-0307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant