Individual
EDEM KOFFI MENSAH KUMEDZRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4953 CURTIS AVE, OMAHA, NE 68104-1337
(402) 906-0691
Mailing address
4953 CURTIS AVE, OMAHA, NE 68104-1337
(402) 906-0691
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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