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Domerlin Sodusta
NPI 1679978084 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4905 S 107th Ave
Suite 206
Omaha, NE 68127 - Phone
- (402) 968-1643
- Organisation at this address
- Llb Laser Llc
Serenecare Inc
Keen Minds Llc
Charter Hospice Of Omaha, Llc
Charter Home Health Of Omaha, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Durable Medical Equipment & Medical Supplies
332B00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska