Individual
DRISSA D KAMBOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOLE PROPRIETOR
Contact information
Practice address
25 ROSE LN APT 2, AMELIA, OH 45102-1952
(347) 249-4383
Mailing address
25 ROSE LN APT 2, AMELIA, OH 45102-1952
(347) 249-4383
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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