Individual
KAWIYOU TAFFA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8108 N 149TH AVE, BENNINGTON, NE 68007-7040
(646) 260-0949
Mailing address
8108 N 149TH AVE, BENNINGTON, NE 68007-7040
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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