Individual
KEISHA SARPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-8863
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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