Individual
MATTHEW WHITESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15677 SPAULDING ST, OMAHA, NE 68116-8411
(402) 614-8202
Mailing address
15677 SPAULDING ST, OMAHA, NE 68116-8411
(402) 614-8202
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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