MARIE IDA BAKOU

LA VISTA, NE
NPI1194413138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  26147)
Enumeration Date2023-04-27
Last Update Date2023-04-27
Business Address
MARIE IDA BAKOU
6949 S 110TH ST
LA VISTA, NE 68128-5721
Phone number: 402-597-4947
Mailing Address
MARIE IDA BAKOU
6949 S 110TH ST
LA VISTA, NE 68128-5721
Phone number: 402-597-4947