Individual
SIMON KAN RIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2824 PARKER ST, OMAHA, NE 68111-4247
(402) 830-4826
Mailing address
2824 PARKER ST, OMAHA, NE 68111-4247
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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