NPI 1902442114
Jallah Kpanquoi, BA
Practice location
- Address
- 3905 S Grand Slam Pl APT 7, Sioux Falls, SD 57110-4821
- Phone
- (763) 283-0358
- Mailing address
- 101 S Reid St # 338, Sioux Falls, SD 57103-7030
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1902442114
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Nov 2019
- Record last updated
- 20 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.