Individual
HSOE KLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 FRANKLIN ST, OMAHA, NE 68111-4022
(402) 715-0684
Mailing address
2864 MANDERSON ST, OMAHA, NE 68111-2981
(402) 715-0684
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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