Individual
IZEGHODE JOY ASIAZOBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
14872 YOUNG ST, BENNINGTON, NE 68007-7030
(402) 306-0355
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
88072
NE
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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