Individual
KOFI GUNUBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14204 VANE ST, OMAHA, NE 68142-2140
(402) 706-9469
Mailing address
14204 VANE ST, OMAHA, NE 68142-2140
(402) 706-9469
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
45308
NE
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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