Individual
ELMER RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 N 107TH ST, OMAHA, NE 68114-1017
(402) 714-2944
Mailing address
1623 N 107TH ST, OMAHA, NE 68114-1017
(402) 714-2944
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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