Individual
KAWUNDA MOGGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4138 GRANT ST, OMAHA, NE 68111-3405
(303) 901-2616
Mailing address
4138 GRANT ST, OMAHA, NE 68111-3405
(303) 901-2616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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