Individual
SUSMA MUKTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8773 KIMBALL ST, OMAHA, NE 68122-5241
(402) 686-4118
Mailing address
7710 N 80TH ST, OMAHA, NE 68122-1414
(402) 686-4118
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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