Individual
AIME VAUBANSON AZIADOUVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 N 117TH CT APT 7, OMAHA, NE 68154-2442
(240) 264-0476
Mailing address
375 N 117TH CT APT 7, OMAHA, NE 68154-2442
(240) 264-0476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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