MOHAMED IDRISSA-MOUSSA

CONWAY, AR
NPI1144645623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-02-20
Last Update Date2014-02-20
Business Address
-- MOHAMED IDRISSA-MOUSSA Recovery Assistant
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
Mailing Address
-- MOHAMED IDRISSA-MOUSSA Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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