Individual
KONDI KOUMAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11363 N 169TH ST, BENNINGTON, NE 68007-5065
(402) 885-3284
Mailing address
11363 N 169TH ST, BENNINGTON, NE 68007-5065
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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