Individual
TALATOU JALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2407 SILVERADO TRL, GRAND PRAIRIE, TX 75052-8627
(214) 284-3801
Mailing address
2407 SILVERADO TRL, GRAND PRAIRIE, TX 75052-8627
(214) 284-3801
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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