Individual
IBRAHIMA S SIDIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
6555 US 98 WEST, SUITE A, HATTIESBURG, MS 39402
(601) 261-0191
(601) 579-9782
Mailing address
6555 U S HIGHWAY 98, SUITE A, HATTIESBURG, MS 39402-8699
(601) 261-0111
(601) 579-9782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT0403
MS
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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