SOUMANA MOUNKAILA

BRONX, NY
NPI1063950632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F339568-1)
Enumeration Date2017-02-03
Last Update Date2017-02-03
Business Address
Mr. SOUMANA MOUNKAILA
1975 BIRCHALL AVE APT 8E
BRONX, NY 10462-2890
Phone number: 646-316-0778
Mailing Address
Mr. SOUMANA MOUNKAILA
1975 BIRCHALL AVE APT 8E
BRONX, NY 10462-2894
Phone number: 646-316-0778
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