Individual
MOUSSA KOULBOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10031 E DYNAMITE BLVD, SCOTTSDALE, AZ 85262-3719
(480) 747-2977
Mailing address
3241 S HORIZON PL, CHANDLER, AZ 85248-3718
(480) 747-2977
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
02/26/2025
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