| Doctor Name: | MRS. DJEMILA TRAORE |
| NPI Number: | 1104286574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | C0000612678 |
| Business Practice Address: | 900 Valley Rd Apt A1 Clifton, NJ - 070134043 |
| Business Phone Number: | 9736411045 |
| Business Fax Number: | |
| Mailing Address: | 900 Valley Rd Apt A1, CLIFTON |
| State: | NJ |
| Postal Code: | 070134043 |
| Phone Number: | 9736411045 |
| Fax Number: | |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | C0000612678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |