Individual
XENIA NOUTOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 S 72ND ST, OMAHA, NE 68124-1600
(402) 393-9571
Mailing address
10766 POTTER ST, OMAHA, NE 68122-1544
(816) 616-9920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14882
NE
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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