Azeta Konseimbo Ouedraogo

NPI #1003613027 in Omaha, Nebraska

Provider Information

NPI Number: 1003613027
Entity Type: Individual
Name: Azeta Konseimbo Ouedraogo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Feb 27, 2025
Last Updated: Feb 27, 2025

Practice Location

Address: 2535 S 152ND AVENUE CIR
City: Omaha
State: Nebraska
ZIP Code: 68144-1969
Phone: (202) 288-5352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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