Individual
MARLENE INGRID DJIDJOHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
S 42ND & EMILY ST, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
S 42 & EMILE STREET, OMAHA, NE 68198-0001
(402) 559-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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