Provider Demographics
NPI:1730585027
Name:SESAY, MUMINATU
Entity type:Individual
Prefix:
First Name:MUMINATU
Middle Name:
Last Name:SESAY
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 1:1342 BARNES DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1389
Mailing Address - Country:US
Mailing Address - Phone:614-779-7054
Mailing Address - Fax:614-707-7150
Practice Address - Street 1:1342 BARNES DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1389
Practice Address - Country:US
Practice Address - Phone:614-779-7054
Practice Address - Fax:614-707-7150
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401375320412376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide