Individual
JOELLE MARIE F BASSONO KANDIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 S 191ST ST, OMAHA, NE 68136-1662
(402) 208-0024
Mailing address
7714 S 191ST ST, OMAHA, NE 68136-1662
(402) 208-0024
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
86039
NE
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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