Individual
KALILOU DJOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S KING ST, SHEPHERDSTOWN, WV 25443-7000
(304) 876-5000
Mailing address
301 S KING ST, SHEPHERDSTOWN, WV 25443-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R198617
MD
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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