Individual
MR. JALLAH KPANQUOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3905 S GRAND SLAM PL APT 7, SIOUX FALLS, SD 57110-4821
(763) 283-0358
Mailing address
101 S REID ST # 338, SIOUX FALLS, SD 57103-7030
(605) 846-3710
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
05/20/2020
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