Individual
MR. MUSTAFA CHANSA KALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4209 W PAT ST, SIOUX FALLS, SD 57107-1839
(605) 400-3246
(605) 210-9500
Mailing address
4209 W PAT ST, SIOUX FALLS, SD 57107-1839
(605) 400-3246
(605) 210-9500
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
SD
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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