Provider Demographics
NPI:1285334714
Name:CAMARA, BINTOU
Entity type:Individual
Prefix:
First Name:BINTOU
Middle Name:
Last Name:CAMARA
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 1:1387 WAVELAND DR APT B
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6754
Mailing Address - Country:US
Mailing Address - Phone:614-462-9344
Mailing Address - Fax:
Practice Address - Street 1:261 W JOHNSTOWN RD STE 50
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3542
Practice Address - Country:US
Practice Address - Phone:614-462-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty