Individual
ISSAKA DONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8112 S 92ND AVE, LA VISTA, NE 68128-3203
(929) 436-6518
Mailing address
8112 S 92ND AVE, LA VISTA, NE 68128-3203
(929) 436-6518
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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