Individual
DARRA BOETEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5022 S 114TH ST STE 100, OMAHA, NE 68137-2329
(402) 827-7652
Mailing address
3377 WEBER ST, OMAHA, NE 68112-2636
(402) 937-2186
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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