Individual
AYABAVI BRICE GRACE SOSSOUKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 N 88TH ST, OMAHA, NE 68122-5201
(402) 939-9312
Mailing address
6960 N 88TH ST, OMAHA, NE 68122-5201
(402) 939-9312
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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