Individual
KOMLAN GERARD BAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12537 S 25TH AVE, BELLEVUE, NE 68123-1725
(402) 208-9553
Mailing address
12537 S 25TH AVE, BELLEVUE, NE 68123-1725
(402) 208-9553
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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