Domerlin Sodusta
Domerlin Sodusta is a Durable Medical Equipment & Medical Supplies in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2014
Practice location Address checks out
4905 S 107th Ave Ste 206Omaha, NE 68127-1965
Phone: (402) 968-1643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (NE) |
|---|
Record details
| NPI number | 1679978084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2014 |
| Last updated in NPPES | October 28, 2014 |
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