NPI 1679978084
Domerlin Sodusta
Practice location
- Address
- 4905 S 107th Ave Suite 206, Omaha, NE 68127-1965
- Phone
- (402) 968-1643
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1679978084
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Oct 2014
- Record last updated
- 28 Oct 2014
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.