Individual
MOUSTAPHA DOULAYE SEYDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
10835 LAKE GARDENS DR, DALLAS, TX 75218-2402
(972) 757-3804
Mailing address
10835 LAKE GARDENS DR, DALLAS, TX 75218-2402
(972) 757-3804
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-654
WI
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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