Individual
KOFFI ELI FOGAN AMEFIA-KOFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSP
Contact information
Practice address
3317 N 107TH ST # NE68134, OMAHA, NE 68134-3664
(402) 502-1035
Mailing address
3317 N 107TH ST # NE68134, OMAHA, NE 68134-3664
(402) 502-1035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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