Individual
CHRISTOPHE B BASSONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7714 S 191ST ST, OMAHA, NE 68136-1662
(402) 658-5059
Mailing address
7714 S 191ST ST, OMAHA, NE 68136-1662
(402) 658-5059
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
100682
NE
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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