NPI 1003613027

Azeta Konseimbo Ouedraogo

Practitioner Contractor Omaha, NE

Practice location

Address: 2535 S 152nd Avenue Cir, Omaha, NE 68144-1969
Phone: (202) 288-5352
Mailing address: 4715 S 132nd St, Omaha, NE 68137-1899

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1003613027
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2025
Record last updated: 27 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.