KANGNI SERGE FOLLY-NOTSRON

RIVERVIEW, FL
NPI1740751833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
KANGNI SERGE FOLLY-NOTSRON
7920 MOCCASIN TRAIL DR
RIVERVIEW, FL 33578-8611
Phone number: 402-321-6965
Mailing Address
KANGNI SERGE FOLLY-NOTSRON
7920 MOCCASIN TRAIL DR
RIVERVIEW, FL 33578-8611
Phone number: 402-321-6965
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