Individual
MOURENI SHITTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11306 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 884-1645
Mailing address
8003 FILLMORE ST, OMAHA, NE 68122-4083
(402) 706-8226
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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