Individual
CESAR PAULIN FODING FOTSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 TEALRIDGE CT, DESOTO, TX 75115-6338
(972) 246-9466
Mailing address
404 TEALRIDGE CT, DESOTO, TX 75115-6338
(972) 246-9466
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
41577134
TX
Other
Enumeration date
03/29/2021
Last updated
03/31/2021
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