Provider Demographics
NPI:1487499216
Name:TRAORE, MAAMBIIGE
Entity type:Individual
Prefix:
First Name:MAAMBIIGE
Middle Name:
Last Name:TRAORE
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 1:6629 SEBERT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-7409
Mailing Address - Country:US
Mailing Address - Phone:216-396-6169
Mailing Address - Fax:216-674-9399
Practice Address - Street 1:6629 SEBERT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-7409
Practice Address - Country:US
Practice Address - Phone:216-396-6169
Practice Address - Fax:216-674-9399
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemaker