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Individual

ESSAU NIYONKURU MODESTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6300 MERLE HAY RD, JOHNSTON, IA 50131-1545
(515) 864-9360
(515) 864-9360
Mailing address
6300 MERLE HAY RD, JOHNSTON, IA 50131-1545
(515) 864-9360
(515) 864-9360

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IA

Other

Enumeration date
05/21/2026
Last updated
05/21/2026
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