Individual
AZETA KONSEIMBO OUEDRAOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 S 152ND AVENUE CIR, OMAHA, NE 68144-1969
(202) 288-5352
Mailing address
4715 S 132ND ST, OMAHA, NE 68137-1899
(202) 288-5352
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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