Individual
MAMUDU BALIMA ISSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1307 CEDAR RIDGE TER, EULESS, TX 76039-2807
(682) 465-7542
Mailing address
PO BOX 192, EULESS, TX 76039-0192
(682) 465-7542
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51513
IL
Other
Enumeration date
02/24/2008
Last updated
02/24/2008
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