SOUMANA DJIBO

SOUTHLAKE, TX
NPI1760148753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP141893)
Enumeration Date2021-11-13
Last Update Date2022-10-31
Business Address
SOUMANA DJIBO
855 DAVIS BLVD
SOUTHLAKE, TX 76092-8244
Phone number: 817-912-1771
Mailing Address
SOUMANA DJIBO
3402 ROSEMEAD DR
ARLINGTON, TX 76014-3557
Phone number:
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