Domerlin Sodusta

NPI #1679978084 in Omaha, Nebraska

Provider Information

NPI Number
1679978084
Entity Type
Individual
Name
Domerlin Sodusta
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 28, 2014
Last Updated
Oct 28, 2014

Practice Location

Address
4905 S 107TH AVE
Address 2
SUITE 206
City
Omaha
ZIP Code
68127-1965
Phone
(402) 968-1643

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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