DATE AMOUZOU

BENNINGTON, NE
NPI1942755954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NE  112098)
Enumeration Date2016-08-19
Last Update Date2021-05-27
Business Address
DATE AMOUZOU NP
16101 GREBE ST
BENNINGTON, NE 68007-1255
Phone number: 402-517-0839
Mailing Address
DATE AMOUZOU NP
7261 MERCY RD
OMAHA, NE 68124-2311
Phone number: