Moustapha Ilboudo
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1669272001
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1669272001
- Entity type
- Individual (NPI-1)
- Name
- Moustapha Ilboudo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2025
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372600000X | Adult Companion | – | – |
Practice location
14210 Arbor St Ste AOmaha, NE 68144-2382
Phone 531-999-1133
Mailing address
5404 S 95th Ct Apt 206Omaha, NE 68127-5223
Phone 217-693-9032
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