IndividualActive
Domerlin Sodusta
NPI 1679978084 · Durable Medical Equipment & Medical Supplies · Omaha, NE
Provider details
- NPI number
- 1679978084
- Entity type
- Individual
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4905 S 107th Ave
Suite 206
Omaha, NE 68127-1965
Phone: (402) 968-1643
Mailing address
4905 S 107th Ave
Omaha, NE 68127-1965
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2014-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.