Individual
EDIANETH TIPHAINE NKOUME ASSIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11807 AMERADO BLVD, BELLEVUE, NE 68123-1382
(531) 292-2132
Mailing address
11807 AMERADO BLVD APT 1117, BELLEVUE, NE 68123-3155
(531) 292-2132
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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