Individual
AUGUSTIN BAKOUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6315 S 79TH CIR, RALSTON, NE 68127-4271
(402) 321-5022
Mailing address
6315 S 79TH CIR, RALSTON, NE 68127-4271
(402) 321-5022
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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