Provider Demographics
NPI:1811727316
Name:DIAW, AMINATA
Entity type:Individual
Prefix:
First Name:AMINATA
Middle Name:
Last Name:DIAW
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 1:212 FAWN RDG N
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9267
Mailing Address - Country:US
Mailing Address - Phone:717-801-6118
Mailing Address - Fax:
Practice Address - Street 1:3405 N 6TH ST STE 202
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1486
Practice Address - Country:US
Practice Address - Phone:717-801-6118
Practice Address - Fax:717-256-7286
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy