Individual
MIRIAM NOVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 N 39TH ST, OMAHA, NE 68111-2624
(402) 686-7403
Mailing address
3920 N 39TH ST, OMAHA, NE 68111-2624
(402) 686-7403
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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