Individual
JEAN GOTTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N 67TH ST, LINCOLN, NE 68507-2807
(402) 436-1216
Mailing address
2500 N 67TH ST, LINCOLN, NE 68507-2807
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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