Drissa D Kambou, SOLE PROPRIETOR

NPI #1932882339 in Amelia, Ohio

Provider Information

NPI Number: 1932882339
Entity Type: Individual
Name: Drissa D Kambou, SOLE PROPRIETOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: SOLE PROPRIETOR
Enumeration Date: Aug 11, 2023
Last Updated: Aug 11, 2023

Practice Location

Address: 25 ROSE LN APT 2
City: Amelia
State: Ohio
ZIP Code: 45102-1952
Phone: (347) 249-4383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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