Individual
CABLE MAWULI AHOSSOU-BOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
17615 CHANDLER CIR, OMAHA, NE 68136-2075
(301) 364-2846
Mailing address
17615 CHANDLER CIR, OMAHA, NE 68136-2075
(301) 364-2846
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
NE
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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