DOMERLIN SODUSTA

OMAHA, NE
NPI1679978084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2014-10-28
Last Update Date2014-10-28
Business Address
-- DOMERLIN SODUSTA
4905 S 107TH AVE SUITE 206
OMAHA, NE 68127-1965
Phone number: 402-968-1643
Mailing Address
-- DOMERLIN SODUSTA
4905 S 107TH AVE SUITE 206
OMAHA, NE 68127-1965
Phone number: 402-968-1643