Individual
KOUASSI AMOUSSOUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 ARLENE AVE, PAPILLION, NE 68046-2901
(801) 882-1664
Mailing address
813 ARLENE AVE, PAPILLION, NE 68046-2901
(801) 882-1664
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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