Individual
MARYLOU CAMENZIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1861 E 23RD ST, FREMONT, NE 68025-2437
(402) 721-1060
(402) 727-4761
Mailing address
1861 E 23RD ST, FREMONT, NE 68025-2437
(402) 721-1060
(402) 727-4761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21
MIDLANDS CHOICE
—
01
—
36613
BCBS
—
Enumeration date
07/27/2006
Last updated
06/16/2018
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