Individual
EBEN YAMEOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10504 SPRAGUE PLZ, OMAHA, NE 68134-3425
(402) 306-1420
Mailing address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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