Provider Demographics
NPI:1861297038
Name:ADJAHO, TOLOMIN AIME
Entity type:Individual
Prefix:
First Name:TOLOMIN
Middle Name:AIME
Last Name:ADJAHO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9929 S PLZ APT 1D
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-4701
Mailing Address - Country:US
Mailing Address - Phone:402-281-7629
Mailing Address - Fax:
Practice Address - Street 1:9929 S PLZ APT 1D
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-4701
Practice Address - Country:US
Practice Address - Phone:402-281-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion