Individual
MS. AZIBATARAM BENEDICTA FATOYE-ALAGOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 939-7838
(612) 725-1219
Mailing address
6304 N 80TH ST, OMAHA, NE 68134-8100
(402) 930-7838
(612) 725-1219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22964
NE
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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