Ayissetou Aicha Koriko
Chore Provider in Omaha, NE. Individual provider (NPI-1).
NPI number1003608993
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1003608993
- Entity type
- Individual (NPI-1)
- Name
- Ayissetou Aicha Koriko
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2025
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
2517 N 69th StOmaha, NE 68104-3803
Phone 402-452-9488
Mailing address
2517 N 69th StOmaha, NE 68104-3803
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