Individual
DANDRA R COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5506 N 60TH AVE, OMAHA, NE 68104-1604
(402) 706-9096
Mailing address
5506 N 60TH AVE, OMAHA, NE 68104-1604
(402) 706-9096
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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