Individual
MESSAN KPONTON QUAM DESSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5022 S 114TH ST STE 100, OMAHA, NE 68137-2329
(402) 981-5938
Mailing address
12208 STONEGATE DR APT 304, OMAHA, NE 68164-5260
(402) 981-5938
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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