Individual
NYWAL GATLEAK THIC KORYOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7802 HOWARD ST, OMAHA, NE 68114-5419
(402) 689-7333
Mailing address
1923 WIRT ST, OMAHA, NE 68110-2049
(402) 321-0560
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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