Individual
MR. KOFI MESSAN BOCKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3325 N 148TH CT APT 3206, OMAHA, NE 68116-7214
(402) 650-3818
Mailing address
16422 LILAC ST, OMAHA, NE 68116-3221
(402) 779-9055
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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