Individual
AVOUYI KODJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 213-4729
Mailing address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 213-4729
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
03/04/2025
Last updated
12/22/2025
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